MEDICARE: HERBERT ROBERT KATZ 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	PS0014999	FL

General Provider Information

NPI Number	:	1356453682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT ROBERT KATZ R.PH.

Provider Business Mailing Address
First Line	:	1220 NE 20TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-4768
Country	:	US
Telephone Number	:	352-351-5274
Fax Number	:

Provider Business Practice Location Address
First Line	:	15912 E HIGHWAY 40
Second Line	:
City	:	SILVER SPRINGS
State	:	FL
Zip	:	34488-5144
Country	:	US
Telephone Number	:	352-625-2866
Fax Number	:	352-625-2030

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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