MEDICARE: DR. VINEET TALWAR PHARM.D

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	1835P1200X	Pharmacotherapy Pharmacist	PS29999	FL

General Provider Information

NPI Number	:	1023356300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINEET TALWAR PHARM.D

Provider Business Mailing Address
First Line	:	19425 SW 24TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5941
Country	:	US
Telephone Number	:	954-559-9840
Fax Number	:

Provider Business Practice Location Address
First Line	:	15801 SHERIDAN ST
Second Line	:
City	:	SW RANCHES
State	:	FL
Zip	:	33331-3487
Country	:	US
Telephone Number	:	954-442-6875
Fax Number	:

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

Provider Enumeration Date	:	01/22/2013
Last Update Date	:	01/22/2013

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