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NPI Code Detail

MEDICARE: MR. KELVIN DEXTER TROCARD PHARM.D.

MEDICARE:  MR. KELVIN DEXTER TROCARD  PHARM.D.
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
1183500000XPharmacistPS 31377FL

General Provider Information

NPI Number : 1306848015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KELVIN DEXTER TROCARD PHARM.D.
Provider Business Mailing Address
First Line : 2617 SW 130TH TER
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-3888
Country : US
Telephone Number : 786-466-1735
Fax Number :
Provider Business Practice Location Address
First Line : 16555 NW 25TH AVE
Second Line :
City : OPA LOCKA
State : FL
Zip : 33054-6583
Country : US
Telephone Number : 786-466-1735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/08/2007

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Directions to “ MR. KELVIN DEXTER TROCARD PHARM.D.” Practice Location

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