MEDICARE: DR. PRICE JEAN-GILLES 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
1	183500000X	Pharmacist	PS39071	FL

General Provider Information

NPI Number	:	1558654764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRICE JEAN-GILLES PHARM.D.

Provider Business Mailing Address
First Line	:	1111 E SUNRISE BLVD
Second Line	:	602
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-2847
Country	:	US
Telephone Number	:	954-632-0601
Fax Number	:	954-990-4217

Provider Business Practice Location Address
First Line	:	1203 E SUNRISE BLVD
Second Line	:	602
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-2810
Country	:	US
Telephone Number	:	954-632-0601
Fax Number	:	954-990-4263

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

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	05/20/2011

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Directions to “ DR. PRICE JEAN-GILLES PHARM.D.” Practice Location

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