MEDICARE: KIM R DAY 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	31716	FL

General Provider Information

NPI Number	:	1306288956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM R DAY RPH

Provider Business Mailing Address
First Line	:	3690 NW 53RD ST
Second Line	:	SUITE 106
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2452
Country	:	US
Telephone Number	:	877-757-0667
Fax Number	:	954-486-5297

Provider Business Practice Location Address
First Line	:	3690 NW 53RD ST
Second Line	:	SUITE 106
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2452
Country	:	US
Telephone Number	:	877-757-0667
Fax Number	:	954-486-5297

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

Provider Enumeration Date	:	07/24/2013
Last Update Date	:	07/24/2013

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Directions to “ KIM R DAY RPH” Practice Location

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