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NPI Code Detail

MEDICARE: PETER J DOLAN PHARM.D.

MEDICARE: PETER J DOLAN 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
1183500000XPharmacistPS36967FL

General Provider Information

NPI Number : 1396039665
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER J DOLAN PHARM.D.
Provider Business Mailing Address
First Line : 3200 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1062
Country : US
Telephone Number : 954-390-7056
Fax Number :
Provider Business Practice Location Address
First Line : 3200 N FEDERAL HWY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1062
Country : US
Telephone Number : 954-390-7056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2011
Last Update Date : 06/04/2011

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Directions to “ PETER J DOLAN PHARM.D.” Practice Location

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