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NPI Code Detail

MEDICARE: MRS. SOFIA CARLOCK R.PH.

MEDICARE:  MRS. SOFIA  CARLOCK  R.PH.
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
1183500000XPharmacistPS24773FL

General Provider Information

NPI Number : 1144235573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SOFIA CARLOCK R.PH.
Provider Business Mailing Address
First Line : 2026 NW 183RD CIR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-3720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1425
Country : US
Telephone Number : 305-644-7569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SOFIA CARLOCK R.PH.” Practice Location

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