MEDICARE: SONJA I ROAF 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	PH24891	MA
2	183500000X	Pharmacist	PS 48983	FL

General Provider Information

NPI Number	:	1184856924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJA I ROAF RPH

Provider Business Mailing Address
First Line	:	8585 COLLIER BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-3548
Country	:	US
Telephone Number	:	239-774-2938
Fax Number	:	239-774-6974

Provider Business Practice Location Address
First Line	:	8585 COLLIER BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-3548
Country	:	US
Telephone Number	:	239-774-2938
Fax Number	:	239-774-6974

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

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	01/22/2013

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Directions to “ SONJA I ROAF RPH” Practice Location

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