MEDICARE: MR. ZDENEK ZAPLETAL RPH

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	PS0028280	FL

General Provider Information

NPI Number	:	1588788145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZDENEK ZAPLETAL RPH

Provider Business Mailing Address
First Line	:	605 N VICTORIA PARK RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-3432
Country	:	US
Telephone Number	:	954-832-9370
Fax Number	:	954-565-6537

Provider Business Practice Location Address
First Line	:	2420 N FEDERAL HWY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33305-2541
Country	:	US
Telephone Number	:	954-565-6496
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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