MEDICARE: ALEXANDRIA CONIGLIO

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	PS45419	FL

General Provider Information

NPI Number	:	1922642123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA CONIGLIO

Provider Business Mailing Address
First Line	:	14186 S CYPRESS COVE CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33325-6739
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2765 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3185
Country	:	US
Telephone Number	:	561-223-4364
Fax Number	:

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

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	10/30/2019

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Directions to “ ALEXANDRIA CONIGLIO ” Practice Location

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