MEDICARE: DR. MASHEENA JENEE' HERRING 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	PS 38539	FL

General Provider Information

NPI Number	:	1558480285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MASHEENA JENEE' HERRING PHARMD

Provider Business Mailing Address
First Line	:	20164 NW 38TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-1441
Country	:	US
Telephone Number	:	305-621-5614
Fax Number	:

Provider Business Practice Location Address
First Line	:	1698 S PALM AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5587
Country	:	US
Telephone Number	:	954-885-8457
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

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