MEDICARE: DR. NATALIE S RAGHUNATH 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
1	183500000X	Pharmacist	PS39481	FL

General Provider Information

NPI Number	:	1609153881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE S RAGHUNATH PHARMD

Provider Business Mailing Address
First Line	:	509 W HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5343
Country	:	US
Telephone Number	:	954-456-3992
Fax Number	:	954-456-7075

Provider Business Practice Location Address
First Line	:	509 W HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5343
Country	:	US
Telephone Number	:	954-456-3992
Fax Number	:	954-456-7075

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

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	11/15/2011

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