MEDICARE: JORGE LUIS PLANA 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	56544	FL

General Provider Information

NPI Number	:	1528582707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE LUIS PLANA PHARMD

Provider Business Mailing Address
First Line	:	7605 W 33RD CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7605 W 33RD CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5003
Country	:	US
Telephone Number	:	305-557-6395
Fax Number	:

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

Provider Enumeration Date	:	07/31/2017
Last Update Date	:	07/31/2017

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Directions to “ JORGE LUIS PLANA PHARMD” Practice Location

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