Provider Demographics
NPI:1538436738
Name:TSENG, CAROLINE LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LYNN
Last Name:TSENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7245
Mailing Address - Country:US
Mailing Address - Phone:561-395-4765
Mailing Address - Fax:561-395-6299
Practice Address - Street 1:1001 SW 2ND AVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7245
Practice Address - Country:US
Practice Address - Phone:561-395-4765
Practice Address - Fax:561-395-6299
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42919183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist