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NPI Code Detail

MEDICARE: CITI COMPOUNDING

MEDICARE: CITI COMPOUNDING
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
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336L0003XLong Term Care Pharmacy
43336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1093692089
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITI COMPOUNDING
Provider Business Mailing Address
First Line : 5051 NW 13TH AVE STE B
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33064-8650
Country : US
Telephone Number : 305-796-5149
Fax Number : 305-796-5149
Provider Business Practice Location Address
First Line : 5051 NW 13TH AVE STE B
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33064-8650
Country : US
Telephone Number : 305-796-5149
Fax Number : 305-796-5149
Authorized Official
Title or Position : OWNER
Name : LUCY METZLER
Credential :
Telephone Number : 305-796-5149
Provider Enumeration Date : 08/20/2025
Last Update Date : 08/20/2025

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Directions to “CITI COMPOUNDING ” Practice Location

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