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NPI Code Detail

MEDICARE: LAUREN ROSALES VELAZQUEZ

MEDICARE: LAUREN ROSALES VELAZQUEZ
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
1183500000XPharmacist64529FL

General Provider Information

NPI Number : 1649907049
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ROSALES VELAZQUEZ
Provider Business Mailing Address
First Line : 101 HIALEAH DR
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5216
Country : US
Telephone Number : 305-888-1639
Fax Number :
Provider Business Practice Location Address
First Line : 101 HIALEAH DR
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5216
Country : US
Telephone Number : 305-888-1639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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Directions to “ LAUREN ROSALES VELAZQUEZ ” Practice Location

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