MEDICARE: DR. HAL GOLDMAN 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	22414	FL

General Provider Information

NPI Number	:	1952583049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAL GOLDMAN PHARM D

Provider Business Mailing Address
First Line	:	1461 N PALM AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3228
Country	:	US
Telephone Number	:	954-442-4429
Fax Number	:	954-442-4442

Provider Business Practice Location Address
First Line	:	8225 N PINE ISLAND RD
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1541
Country	:	US
Telephone Number	:	954-773-2450
Fax Number	:	954-442-4442

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

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	10/17/2024

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