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NPI Code Detail

MEDICARE: DR. GETOSE G ALTINE PHARM.D.

MEDICARE: DR. GETOSE G ALTINE 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
11835P1200XPharmacotherapy PharmacistPS39334FL
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS39334FL

General Provider Information

NPI Number : 1235416934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GETOSE G ALTINE PHARM.D.
Provider Business Mailing Address
First Line : 2500 QUANTUM LAKES DR STE 203
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 QUANTUM LAKES DR STE 203
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8323
Country : US
Telephone Number : 561-777-8634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 10/23/2020

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