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NPI Code Detail

MEDICARE: AILEEN FIBKINS PHARM D.

MEDICARE: AILEEN FIBKINS 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
1183500000XPharmacistPS35640FL

General Provider Information

NPI Number : 1801165493
Entity Type Code : Individual
Provider Name (Legal Business Name) : AILEEN FIBKINS PHARM D.
Provider Business Mailing Address
First Line : 6115 NW 88TH AVE
Second Line :
City : PARKLAND
State : FL
Zip : 33067-3741
Country : US
Telephone Number : 954-753-7043
Fax Number :
Provider Business Practice Location Address
First Line : 2355 NE 26TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33305-1628
Country : US
Telephone Number : 954-561-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 12/28/2011

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Directions to “ AILEEN FIBKINS PHARM D.” Practice Location

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