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NPI Code Detail

MEDICARE: YESENIA VAZQUEZ PHARMD

MEDICARE:   YESENIA  VAZQUEZ  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
1183500000XPharmacistPS52220FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS52220OTHERFLLICENSE NUMBER

General Provider Information

NPI Number : 1043628373
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESENIA VAZQUEZ PHARMD
Provider Business Mailing Address
First Line : 225 S FLAMINGO RD
Second Line :
City : PLANTATION
State : FL
Zip : 33325-2817
Country : US
Telephone Number : 954-472-1903
Fax Number :
Provider Business Practice Location Address
First Line : 225 S FLAMINGO RD
Second Line :
City : PLANTATION
State : FL
Zip : 33325-2817
Country : US
Telephone Number : 954-472-1903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2014
Last Update Date : 07/30/2014

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Directions to “ YESENIA VAZQUEZ PHARMD” Practice Location

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