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NPI Code Detail

MEDICARE: MR. TAOUFIQ HAMMOND RPH

MEDICARE: MR. TAOUFIQ HAMMOND 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
11835G0303XGeriatric Pharmacist183500000XFL

General Provider Information

NPI Number : 1669756938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TAOUFIQ HAMMOND RPH
Provider Business Mailing Address
First Line : 3090 W NEW HAVEN AVE
Second Line :
City : MELBOURNE
State : FL
Zip : 32904-3658
Country : US
Telephone Number : 321-777-7706
Fax Number :
Provider Business Practice Location Address
First Line : 3090 W NEW HAVEN AVE
Second Line :
City : W MELBOURNE
State : FL
Zip : 32904-3658
Country : US
Telephone Number : 321-727-8453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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