MEDICARE: DENISE FOLCHETTI PHARMD, RPH

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	PS42086	FL

General Provider Information

NPI Number	:	1922657857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE FOLCHETTI PHARMD, RPH

Provider Business Mailing Address
First Line	:	3890 PARK CENTRAL BLVD N
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2264
Country	:	US
Telephone Number	:	866-348-0441
Fax Number	:	888-443-5034

Provider Business Practice Location Address
First Line	:	3890 PARK CENTRAL BLVD N
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2264
Country	:	US
Telephone Number	:	866-348-0441
Fax Number	:	888-443-5034

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	09/04/2019

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