MEDICARE: DR. KERLINE LAJOIE 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	PS58038	FL

General Provider Information

NPI Number	:	1912486010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERLINE LAJOIE PHARM D

Provider Business Mailing Address
First Line	:	5714 GREEN ISLAND DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7394
Country	:	US
Telephone Number	:	561-376-6561
Fax Number	:

Provider Business Practice Location Address
First Line	:	4375 BELVEDERE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1545
Country	:	US
Telephone Number	:	561-242-5651
Fax Number	:

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

Provider Enumeration Date	:	08/09/2018
Last Update Date	:	08/09/2018

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