MEDICARE: ANDREW JOHN TORKELSON PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS54271	FL

General Provider Information

NPI Number	:	1003287426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JOHN TORKELSON PHARMD

Provider Business Mailing Address
First Line	:	6936 SW 39TH ST APT D304
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-2468
Country	:	US
Telephone Number	:	319-230-2652
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 NE 26TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-1628
Country	:	US
Telephone Number	:	954-561-3880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2015
Last Update Date	:	10/12/2015

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