Healthcare Provider Details

I. General information

NPI: 1538073150
Provider Name (Legal Business Name): DEANNA ALEXIS HENRY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S UNIVERSITY DR
DAVIE FL
33328-2018
US

IV. Provider business mailing address

2450 SW 84TH AVE
MIRAMAR FL
33025-2126
US

V. Phone/Fax

Practice location:
  • Phone: 954-262-4559
  • Fax:
Mailing address:
  • Phone: 954-918-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71188
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: