Provider Demographics
NPI:1326385139
Name:BELLAMY, REGINAL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:REGINAL
Middle Name:
Last Name:BELLAMY
Suffix:
Gender:M
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 1:1601 PROMENADE BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3652
Mailing Address - Country:US
Mailing Address - Phone:954-659-8766
Mailing Address - Fax:
Practice Address - Street 1:1601 PROMENADE BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3652
Practice Address - Country:US
Practice Address - Phone:954-659-8766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist