Gene H Petteway, RPH is a
Pharmacist based in High Sprngs, Florida. Gene H Petteway is licensed to practice in Florida (license number PS12313) and his current practice location is
1080 N W Santa Fe Blvd, High Sprngs, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 454-4259.
NPI number for Gene H Petteway is 1013119940 and his current mailing address is 23326 Nw 201st Ln, High Springs, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013119940.
Healthcare Provider's Profile
| Full Name | Gene H Petteway |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 1080 N W Santa Fe Blvd, High Sprngs, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013119940
- Provider Enumeration Date: 06/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gene H Petteway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013119940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS12313 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gene H Petteway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gene H Petteway, RPH
23326 Nw 201st Ln,
High Springs, FL 32643-7414
Ph: (386) 454-2502 | Gene H Petteway, RPH
1080 N W Santa Fe Blvd,
High Sprngs, FL 32643
Ph: (386) 454-4259 |
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