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NPI Code Detail

MEDICARE: DR. ROBERT ANDREW BERNAL PHARMACIST

MEDICARE: DR. ROBERT ANDREW BERNAL PHARMACIST
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
1183500000XPharmacistPS47996FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10451818OTHERFLEMPLOYEE ID

General Provider Information

NPI Number : 1376147355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ANDREW BERNAL PHARMACIST
Provider Business Mailing Address
First Line : 15824 NW 83RD AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-6607
Country : US
Telephone Number : 305-498-6583
Fax Number :
Provider Business Practice Location Address
First Line : 101 HIALEAH DR
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5216
Country : US
Telephone Number : 305-888-1639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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