MEDICARE: CHRISTOPHER PRELLEZO 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	183500000X	Pharmacist	PS52749	FL

General Provider Information

NPI Number	:	1144611146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PRELLEZO PHARM. D.

Provider Business Mailing Address
First Line	:	1422 SW 147TH TER
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33027-6188
Country	:	US
Telephone Number	:	305-281-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2499 SW 101ST AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5082
Country	:	US
Telephone Number	:	954-436-6247
Fax Number	:

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

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	02/12/2015

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