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NPI Code Detail

MEDICARE: MISS RACQUEL NATASHA DANIELS

MEDICARE: MISS RACQUEL NATASHA DANIELS
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
1183500000XPharmacistPS28901FL

General Provider Information

NPI Number : 1528340411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RACQUEL NATASHA DANIELS
Provider Business Mailing Address
First Line : 6432 NW 56TH DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-3539
Country : US
Telephone Number : 954-650-3848
Fax Number :
Provider Business Practice Location Address
First Line : 3099 N STATE ROAD 7
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1913
Country : US
Telephone Number : 954-485-9161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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Directions to “ MISS RACQUEL NATASHA DANIELS ” Practice Location

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