MEDICARE: INGA LAFFERTY PHARMD

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	333600000X	Pharmacy	PS42787	FL

General Provider Information

NPI Number	:	1417418542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGA LAFFERTY PHARMD

Provider Business Mailing Address
First Line	:	22237 COLLINGTON DR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-4725
Country	:	US
Telephone Number	:	561-479-8724
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4626
Country	:	US
Telephone Number	:	954-753-7181
Fax Number	:

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

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	03/29/2019

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Directions to “ INGA LAFFERTY PHARMD” Practice Location

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