MEDICARE: COLLEEN BIAG RPH

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	70336	FL

General Provider Information

NPI Number	:	1023954872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN BIAG RPH

Provider Business Mailing Address
First Line	:	5182 CANAL CIR S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-1818
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5182 CANAL CIR S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-1818
Country	:	US
Telephone Number	:	561-383-1331
Fax Number	:

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

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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