Healthcare Provider Details

I. General information

NPI: 1023220696
Provider Name (Legal Business Name): PAUL W MUNROE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 S MILITARY TRL
WEST PALM BCH FL
33415-7549
US

IV. Provider business mailing address

5073 STARBLAZE DR
GREENACRES FL
33463-5932
US

V. Phone/Fax

Practice location:
  • Phone: 561-964-7377
  • Fax: 561-964-9041
Mailing address:
  • Phone: 561-964-7377
  • Fax: 561-964-9041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS29845
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS29845
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: