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NPI Code Detail

MEDICARE: ILBETH CHARLES

MEDICARE: ILBETH CHARLES
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
1183500000XPharmacist58342FL

General Provider Information

NPI Number : 1740762582
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILBETH CHARLES
Provider Business Mailing Address
First Line : 168 N POWERLINE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5713
Country : US
Telephone Number : 954-633-0023
Fax Number :
Provider Business Practice Location Address
First Line : 168 N POWERLINE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5713
Country : US
Telephone Number : 954-633-0023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 11/17/2024

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Directions to “ ILBETH CHARLES ” Practice Location

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