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NPI Code Detail

MEDICARE: JACQUELINE LUCY BERGER PHARM D

MEDICARE: JACQUELINE LUCY BERGER 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
1183500000XPharmacistPS37177FL

General Provider Information

NPI Number : 1427329705
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE LUCY BERGER PHARM D
Provider Business Mailing Address
First Line : 4998 10TH AVE N
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2210
Country : US
Telephone Number : 561-649-8393
Fax Number : 561-649-9128
Provider Business Practice Location Address
First Line : 4998 10TH AVE N
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2210
Country : US
Telephone Number : 561-649-8393
Fax Number : 561-649-9128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2012
Last Update Date : 01/19/2012

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Directions to “ JACQUELINE LUCY BERGER PHARM D” Practice Location

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