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NPI Code Detail

MEDICARE: TRUMAN JORGE PHARMD

MEDICARE:   TRUMAN  JORGE  PHARMD
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
1183500000XPharmacistPS40112FL

General Provider Information

NPI Number : 1538444286
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRUMAN JORGE PHARMD
Provider Business Mailing Address
First Line : 2401 W ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-2634
Country : US
Telephone Number : 954-861-5672
Fax Number : 954-935-8973
Provider Business Practice Location Address
First Line : 2401 W ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-2634
Country : US
Telephone Number : 954-861-5672
Fax Number : 954-935-8973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2011
Last Update Date : 10/13/2011

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Directions to “ TRUMAN JORGE PHARMD” Practice Location

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