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NPI Code Detail

MEDICARE: KAZI H IMAM RPH

MEDICARE: KAZI H IMAM 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
1183500000XPharmacistPS37202FL
2183500000XPharmacist52617TX

General Provider Information

NPI Number : 1265572739
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAZI H IMAM RPH
Provider Business Mailing Address
First Line : 10423 CYPRESS LAKES PRESERVE DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33449-4627
Country : US
Telephone Number : 561-249-9886
Fax Number :
Provider Business Practice Location Address
First Line : 12425 HAGEN RANCH RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-4107
Country : US
Telephone Number : 561-292-4494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 01/18/2013

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