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NPI Code Detail

MEDICARE: WENDY JACKELYN QUIJADA PHARM.D.

MEDICARE: WENDY JACKELYN QUIJADA 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
1183500000XPharmacistPS48515FL

General Provider Information

NPI Number : 1609144203
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY JACKELYN QUIJADA PHARM.D.
Provider Business Mailing Address
First Line : 15005 SW 88TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33196-1314
Country : US
Telephone Number : 305-383-1409
Fax Number : 305-383-1409
Provider Business Practice Location Address
First Line : 15005 SW 88TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33196-1314
Country : US
Telephone Number : 305-383-1409
Fax Number : 305-383-1409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2011
Last Update Date : 12/09/2011

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