Provider Demographics
NPI:1598824450
Name:VALCARCEL, CHANEL (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CHANEL
Middle Name:
Last Name:VALCARCEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:CHANEL
Other - Middle Name:
Other - Last Name:SALADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:13205 SW 137TH AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5335
Mailing Address - Country:US
Mailing Address - Phone:305-256-1180
Mailing Address - Fax:305-256-1189
Practice Address - Street 1:13205 SW 137TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5335
Practice Address - Country:US
Practice Address - Phone:305-256-1180
Practice Address - Fax:305-256-1189
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35677183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist