MEDICARE: NADIA L VULCAIN 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
1	183500000X	Pharmacist	PS31934	FL
2	183500000X	Pharmacist	22837	NC
3	183500000X	Pharmacist	36515	TN

General Provider Information

NPI Number	:	1730433822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA L VULCAIN PHARM D

Provider Business Mailing Address
First Line	:	1959 W 9TH ST
Second Line	:	SUITE A
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-6440
Country	:	US
Telephone Number	:	561-842-2828
Fax Number	:	561-842-1617

Provider Business Practice Location Address
First Line	:	1959 W 9TH ST
Second Line	:	SUITE A
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-6440
Country	:	US
Telephone Number	:	561-842-2828
Fax Number	:	561-842-1617

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

Provider Enumeration Date	:	10/29/2012
Last Update Date	:	10/29/2012

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