Healthcare Provider Details

I. General information

NPI: 1013838440
Provider Name (Legal Business Name): CHANCE MILAN YURCO PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 JOHNSON ST
HOLLYWOOD FL
33021-5421
US

IV. Provider business mailing address

1919 VAN BUREN ST APT 613A
HOLLYWOOD FL
33020-7816
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-2000
  • Fax:
Mailing address:
  • Phone: 843-298-2716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70914
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: