Healthcare Provider Details

I. General information

NPI: 1962678847
Provider Name (Legal Business Name): CLAIRE JULIE EXAUS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 NE 2ND AVE
MIAMI FL
33138-3808
US

IV. Provider business mailing address

322 NE 211TH TER
MIAMI FL
33179-1122
US

V. Phone/Fax

Practice location:
  • Phone: 305-538-8835
  • Fax: 305-938-4058
Mailing address:
  • Phone: 305-538-8835
  • Fax: 305-938-4058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS32435
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: