MEDICARE: SPENCER HEATH 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	PS60781	FL

General Provider Information

NPI Number	:	1104761261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SPENCER HEATH PHARMD

Provider Business Mailing Address
First Line	:	1500 WASHINGTON ST APT 6A
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6736
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 WASHINGTON ST APT 6A
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-6736
Country	:	US
Telephone Number	:	727-422-4171
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ SPENCER HEATH PHARMD” Practice Location

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