Provider Demographics
NPI:1356443980
Name:WARD, LATOYA CHANEL (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:CHANEL
Last Name:WARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8581 SW 22ND CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2092
Mailing Address - Country:US
Mailing Address - Phone:954-392-9863
Mailing Address - Fax:
Practice Address - Street 1:8581 SW 22ND CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2092
Practice Address - Country:US
Practice Address - Phone:954-392-9863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist