MEDICARE: MR. RAND RONALD FINGLES R.PH.

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	PS 20611	FL

General Provider Information

NPI Number	:	1346237997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAND RONALD FINGLES R.PH.

Provider Business Mailing Address
First Line	:	3422 AMSTERDAM AVE
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33026-4814
Country	:	US
Telephone Number	:	954-435-8185
Fax Number	:

Provider Business Practice Location Address
First Line	:	3422 AMSTERDAM AVE
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33026-4814
Country	:	US
Telephone Number	:	954-435-8185
Fax Number	:

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	07/08/2007

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