Healthcare Provider Details

I. General information

NPI: 1346161767
Provider Name (Legal Business Name): NICHOLAS FABIAN MENOLASCINA PHARMD
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

4001 S DIXIE HWY
WEST PALM BEACH FL
33405-2601
US

IV. Provider business mailing address

4001 S DIXIE HWY
WEST PALM BEACH FL
33405-2601
US

V. Phone/Fax

Practice location:
  • Phone: 561-328-2157
  • Fax:
Mailing address:
  • Phone: 561-328-2157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: