MEDICARE: ROGER LEMKE

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	PS23180	FL

General Provider Information

NPI Number	:	1932404019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROGER LEMKE

Provider Business Mailing Address
First Line	:	8881 MARLAMOOR LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-1629
Country	:	US
Telephone Number	:	561-951-5531
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 NW 21ST AVE STE 520
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2731
Country	:	US
Telephone Number	:	561-951-5531
Fax Number	:

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

Provider Enumeration Date	:	01/20/2011
Last Update Date	:	01/20/2011

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Directions to “ ROGER LEMKE ” Practice Location

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