Provider Demographics
NPI:1629791116
Name:BITAR, VERONICA EMELIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:EMELIA
Last Name:BITAR
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 1:8175 SW 79TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3939
Mailing Address - Country:US
Mailing Address - Phone:305-799-8259
Mailing Address - Fax:
Practice Address - Street 1:13005 SW 89TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-5812
Practice Address - Country:US
Practice Address - Phone:305-234-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS64847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist