Provider Demographics
NPI:1033432091
Name:HEYWOOD, DARREN OLIVER (PHARMD)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:OLIVER
Last Name:HEYWOOD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4301
Mailing Address - Country:US
Mailing Address - Phone:954-749-6068
Mailing Address - Fax:
Practice Address - Street 1:7730 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-4301
Practice Address - Country:US
Practice Address - Phone:954-749-6068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050338183500000X
FLPS50416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist