MEDICARE: DR. BROOKE HOGG PHARM. D.

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	PS45511	FL

General Provider Information

NPI Number	:	1821805573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BROOKE HOGG PHARM. D.

Provider Business Mailing Address
First Line	:	160 SW 12TH AVE STE 102
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-3114
Country	:	US
Telephone Number	:	561-218-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 SW 12TH AVE STE 102
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-3114
Country	:	US
Telephone Number	:	561-218-0111
Fax Number	:

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

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

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Directions to “ DR. BROOKE HOGG PHARM. D.” Practice Location

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