MEDICARE: KARINA V CIERI 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
1	183500000X	Pharmacist	PS46377	FL

General Provider Information

NPI Number	:	1851671598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA V CIERI PHARM.D

Provider Business Mailing Address
First Line	:	1263 THE 12TH FAIRWAY
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-5738
Country	:	US
Telephone Number	:	561-312-0842
Fax Number	:

Provider Business Practice Location Address
First Line	:	4943 LE CHALET BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1405
Country	:	US
Telephone Number	:	561-752-0314
Fax Number	:	561-752-0318

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

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	08/25/2011

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