MEDICARE: FAIZAL JALEEL RPH.

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	PS0026838	FL

General Provider Information

NPI Number	:	1033299839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAIZAL JALEEL RPH.

Provider Business Mailing Address
First Line	:	1985 SW 166TH AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 DAVIE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-2766
Country	:	US
Telephone Number	:	954-587-3126
Fax Number	:	954-587-3897

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

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Directions to “ FAIZAL JALEEL RPH.” Practice Location

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