Healthcare Provider Details

I. General information

NPI: 1295406270
Provider Name (Legal Business Name): SMIT CHOWDHARY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8620 GRIFFIN RD
COOPER CITY FL
33328-3719
US

IV. Provider business mailing address

8620 GRIFFIN RD
COOPER CITY FL
33328-3719
US

V. Phone/Fax

Practice location:
  • Phone: 954-373-0053
  • Fax:
Mailing address:
  • Phone: 954-373-0053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS57318
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: