MEDICARE: DR. ELIZABETH KATSMAN 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	183500000X	Pharmacist	PH239069	MA

General Provider Information

NPI Number	:	1437740909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH KATSMAN PHARMD

Provider Business Mailing Address
First Line	:	5850 NW 183RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6023
Country	:	US
Telephone Number	:	305-819-0705
Fax Number	:

Provider Business Practice Location Address
First Line	:	5850 NW 183RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-6023
Country	:	US
Telephone Number	:	305-819-0705
Fax Number	:

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

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	07/14/2021

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