MEDICARE: DR. ROYA SAEDI 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	PS0034440	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568546299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROYA SAEDI PHARM.D.

Provider Business Mailing Address
First Line	:	3535 GALT OCEAN DR STE 1N
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6833
Country	:	US
Telephone Number	:	954-329-2690
Fax Number	:	954-329-2691

Provider Business Practice Location Address
First Line	:	3535 GALT OCEAN DR STE 1N
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6833
Country	:	US
Telephone Number	:	954-329-2690
Fax Number	:	954-329-2691

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	10/24/2017

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