Maria Cruz Fandetti, RPH

Individual provider Active NPI Pharmacist · Hallandale, FL

NPI 1831260587 · NPPES record last updated Feb 22, 2011

Key facts

NPI
1831260587
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS18763 (FL)
Practice address
2500 E Hallandale BCH Blvd
BVD Get Drugs
Hallandale, FL 33009
Phone
(954) 457-8011
Fax
(954) 457-7164
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS18763FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Proxycare of Alabama Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS18763 FL Yes

Addresses

Primary practice location

2500 E Hallandale BCH Blvd
BVD Get Drugs
Hallandale, FL 33009

Mailing address

2436 Glascott PT
Hoover, AL 35226-6320
Phone (205) 941-9905

Other names

  • Mrs. Maria Esther Fandetti Former name

Other providers in Hallandale, FL

All providers in Hallandale, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.