MEDICARE: PHARMACIST CONSULTANT SERVICES, LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1770422370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACIST CONSULTANT SERVICES, LLC

Provider Business Mailing Address
First Line	:	620 RUSS RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-4044
Country	:	US
Telephone Number	:	561-317-0942
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 RUSS RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-4044
Country	:	US
Telephone Number	:	561-317-0942
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREA C MUGGLI
Credential	:	APRN
Telephone Number	:	561-317-0942

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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