MEDICARE: ABNER CESAIRE 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	PS 30149	FL
2	183500000X	Pharmacist	PU 4704	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS 30149	OTHER	FL	PHARMACIST LICENSE
2	PU 4704	OTHER	FL	CONSULTANT PHARMACIST LIC

General Provider Information

NPI Number	:	1588651830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABNER CESAIRE RPH

Provider Business Mailing Address
First Line	:	5550 NW 44TH ST
Second Line	:	APT B504
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-6187
Country	:	US
Telephone Number	:	954-253-7502
Fax Number	:	954-253-7502

Provider Business Practice Location Address
First Line	:	5550 NW 44TH ST
Second Line	:	APT B504
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-6187
Country	:	US
Telephone Number	:	954-253-7502
Fax Number	:	954-253-7502

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	04/09/2012

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Directions to “ ABNER CESAIRE RPH” Practice Location

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