MEDICARE: DR. FRANCK KACOU 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
1	183500000X	Pharmacist	PS42830	FL

General Provider Information

NPI Number	:	1811544851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCK KACOU PHARMD

Provider Business Mailing Address
First Line	:	8170 OKEECHOBEE BLVD STE 5
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2159
Country	:	US
Telephone Number	:	561-720-2676
Fax Number	:	561-720-2685

Provider Business Practice Location Address
First Line	:	8170 OKEECHOBEE BLVD STE 5
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2159
Country	:	US
Telephone Number	:	561-720-2676
Fax Number	:	561-720-2685

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

Provider Enumeration Date	:	08/23/2019
Last Update Date	:	08/23/2019

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