Provider Demographics
NPI:1578662961
Name:APFEL, KENNETH H (RPH)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:H
Last Name:APFEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22754 MERIDIANA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6307
Mailing Address - Country:US
Mailing Address - Phone:561-367-7776
Mailing Address - Fax:561-367-7776
Practice Address - Street 1:291 W CAMINO REAL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5943
Practice Address - Country:US
Practice Address - Phone:561-368-5463
Practice Address - Fax:561-368-5447
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0025404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0556050218Medicare ID - Type Unspecified