MEDICARE: DR. JOHN A CARLOZZI PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS40432	FL

General Provider Information

NPI Number	:	1023173614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A CARLOZZI PHARM.D.

Provider Business Mailing Address
First Line	:	1201 JEFFERSON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-1806
Country	:	US
Telephone Number	:	954-483-8128
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4618
Country	:	US
Telephone Number	:	954-454-0243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/08/2007

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