Provider Demographics
NPI:1730179730
Name:KATZ, BARRY I (RPH)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:I
Last Name:KATZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15451 SW 67TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2617
Mailing Address - Country:US
Mailing Address - Phone:305-253-9595
Mailing Address - Fax:305-422-2793
Practice Address - Street 1:1001 S ANDREWS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1015
Practice Address - Country:US
Practice Address - Phone:954-462-6576
Practice Address - Fax:954-462-6828
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS14806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS14806OtherPHARMACIST LICENSE