Healthcare Provider Details

I. General information

NPI: 1912276874
Provider Name (Legal Business Name): ALBERTO AUGSTEN PHARM.D., BCPP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2011
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11382 SW 87TH TER
MIAMI FL
33173-4220
US

IV. Provider business mailing address

11382 SW 87TH TER
MIAMI FL
33173-4220
US

V. Phone/Fax

Practice location:
  • Phone: 786-313-3921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS 45619
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberPS 45619
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: