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NPI Code Detail

MEDICARE: LEONARD PASTRANA PHARM. D

MEDICARE:   LEONARD  PASTRANA  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS43440FL

General Provider Information

NPI Number : 1386212215
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD PASTRANA PHARM. D
Provider Business Mailing Address
First Line : 13860 WELLINGTON TRCE STE 38-126
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-8588
Country : US
Telephone Number : 561-603-0409
Fax Number :
Provider Business Practice Location Address
First Line : 8170 OKEECHOBEE BLVD STE 4
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2159
Country : US
Telephone Number : 561-603-0409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 06/16/2021

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