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NPI Code Detail

MEDICARE: EDOUARD NERETTE JR PHARMD

MEDICARE:   EDOUARD  NERETTE JR  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
1183500000XPharmacistPS57777FL

General Provider Information

NPI Number : 1972184695
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDOUARD NERETTE JR PHARMD
Provider Business Mailing Address
First Line : 2320 SW 67TH LN
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-2757
Country : US
Telephone Number : 754-802-4423
Fax Number :
Provider Business Practice Location Address
First Line : 2500 W BROWARD BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-1300
Country : US
Telephone Number : 954-453-6537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2021
Last Update Date : 04/15/2021

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Directions to “ EDOUARD NERETTE JR PHARMD” Practice Location

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