Provider Demographics
NPI:1184229171
Name:ECHEVERRI, NATHALIE ELENA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:ELENA
Last Name:ECHEVERRI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5126 SW 140TH TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5963
Mailing Address - Country:US
Mailing Address - Phone:786-473-8410
Mailing Address - Fax:
Practice Address - Street 1:3750 NW 87TH AVE UNIT B
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4670
Practice Address - Country:US
Practice Address - Phone:786-331-8203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist