MEDICARE: MR. ROBERT ZYKOSKI R.PH.

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	PS25258	FL

General Provider Information

NPI Number	:	1578542429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT ZYKOSKI R.PH.

Provider Business Mailing Address
First Line	:	3912 S OCEAN BLVD
Second Line	:	#1407
City	:	HIGHLAND BEACH
State	:	FL
Zip	:	33487-3338
Country	:	US
Telephone Number	:	561-441-1410
Fax Number	:

Provider Business Practice Location Address
First Line	:	3912 S OCEAN BLVD
Second Line	:	#1407
City	:	HIGHLAND BEACH
State	:	FL
Zip	:	33487-3338
Country	:	US
Telephone Number	:	561-441-1410
Fax Number	:

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/08/2007

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