Healthcare Provider Details

I. General information

NPI: 1639395825
Provider Name (Legal Business Name): MARGARETA B TINSLEY PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13660 JOG RD
DELRAY BEACH FL
33446-3806
US

IV. Provider business mailing address

13660 SOUTH JOG ROAD
DELRAY BEACH FL
33446-3806
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-1446
  • Fax: 561-637-1448
Mailing address:
  • Phone: 561-637-1446
  • Fax: 561-637-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberPU5818
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: