MEDICARE: ARLEEN DE LAS MERCEDES SOSA 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	PS40493	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS40493	OTHER	FL	BOARD OF PHARMACY LICENSE

General Provider Information

NPI Number	:	1821071259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLEEN DE LAS MERCEDES SOSA PHARMD

Provider Business Mailing Address
First Line	:	8030 W 14TH CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3324
Country	:	US
Telephone Number	:	305-558-9523
Fax Number	:

Provider Business Practice Location Address
First Line	:	8030 W 14TH CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3324
Country	:	US
Telephone Number	:	305-558-9523
Fax Number	:

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

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	07/08/2007

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Directions to “ ARLEEN DE LAS MERCEDES SOSA PHARMD” Practice Location

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