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DANIEL CORDOVA R.PH.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1912280009
Individual Registrant: DANIEL CORDOVA R.PH.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
202 S FEDERAL HWY DANIA BEACH, FL 33004-4005 US
Tel: 954-920-0477 Fax: --
Tel: 954-920-0477 Fax: --
Contact information for business:
PO BOX 222306 HOLLYWOOD, FL 33022-2306 US
Tel: 954-699-8548 Fax: --
Tel: 954-699-8548 Fax: --
Registration Information:
NPI: 1912280009
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS32057 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
