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Theodore Elisme
Pharmacist in North Miami, Florida
NPI 1477195824

Theodore Elisme is a Pharmacist based in North Miami, FL. Theodore Elisme practices in North Miami, FL. The NPI Number for Theodore Elisme is 1477195824 and holds a License No. 59957 (Florida).

The current practice location address for Theodore Elisme is 12130 Ne Miami Pl, North Miami, FL and can be reached out via phone at 954-296-4399.

Location: 12130 Ne Miami Pl, North Miami, FL, 33161-5359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477195824
Provider Name
Theodore Elisme
Credential
Provider Entity Type
Individual
Gender
Male
Address
12130 Ne Miami Pl, North Miami, FL, 33161-5359
Phone Number
954-296-4399
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59957 01 FL PHARMACY
59957 05 FL
institution
Provider Business Practice Location Address Details
Address
12130 Ne Miami Pl
City
North Miami
State
Florida
Zip
33161-5359
Phone Number
954-296-4399
Fax Number
person
Provider Business Mailing Address Details
Address
12130 Ne Miami Pl
City
North Miami
State
Florida
Zip
33161-5359
Phone Number
954-296-4399
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
59957 (Florida)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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