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NPI Code Detail

MEDICARE: DR. TRACY PONDT PHARMD

MEDICARE:  DR. TRACY  PONDT  PHARMD
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
1183500000XPharmacistPS44083FL

General Provider Information

NPI Number : 1730828385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACY PONDT PHARMD
Provider Business Mailing Address
First Line : 5953 NW 201ST TER
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4878
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5953 NW 201ST TER
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4878
Country : US
Telephone Number : 305-454-0626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/01/2022

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Directions to “ DR. TRACY PONDT PHARMD” Practice Location

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