Icel Betancourt, Pharm.D
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Miami, FL. Individual provider (NPI-1).
NPI number1710229869
StatusActive
Last updated in NPPESMar 26, 2013
Details
- NPI
- 1710229869
- Entity type
- Individual (NPI-1)
- Name
- Miss Icel Betancourt
- Credential
- Pharm.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2013
- Last updated
- Mar 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PS35882 | FL | Yes |
| 183500000X | Pharmacist | PU5530 | FL |
Practice location
870 Nw 106th AveMiami, FL 33172-3129
Phone 305-608-5875
Mailing address
870 Nw 106th AveMiami, FL 33172-3129
Phone 305-608-5875
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