Healthcare Provider Details

I. General information

NPI: 1174819924
Provider Name (Legal Business Name): FAITH S WASHINGTON R.PH., C.S.C.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2011
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3599 W HILLSBORO BLVD
DEERFIELD BEACH FL
33442-9404
US

IV. Provider business mailing address

3599 W HILLSBORO BLVD
DEERFIELD BEACH FL
33442-9404
US

V. Phone/Fax

Practice location:
  • Phone: 954-333-5215
  • Fax: 954-333-5225
Mailing address:
  • Phone: 954-333-5215
  • Fax: 954-333-5225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS26054
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: