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NPI Code Detail

MEDICARE: MOHAMMAD M MOKHTARY PHARMACIST

MEDICARE: MOHAMMAD M MOKHTARY PHARMACIST
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
1183500000XPharmacistPS28810FL

General Provider Information

NPI Number : 1780960781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD M MOKHTARY PHARMACIST
Provider Business Mailing Address
First Line : 15130 NW 6TH CT
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1830
Country : US
Telephone Number : 954-437-9020
Fax Number :
Provider Business Practice Location Address
First Line : 7605 W 33RD CT
Second Line :
City : HIALEAH
State : FL
Zip : 33018-5003
Country : US
Telephone Number : 305-557-6395
Fax Number : 305-557-6433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2011
Last Update Date : 10/24/2011

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Directions to “ MOHAMMAD M MOKHTARY PHARMACIST” Practice Location

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