Provider Demographics
NPI:1679739643
Name:CASTRO, CARMENZA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CARMENZA
Middle Name:
Last Name:CASTRO
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 1:215 SW 42ND AVE
Mailing Address - Street 2:APT 509
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1725
Mailing Address - Country:US
Mailing Address - Phone:786-512-7321
Mailing Address - Fax:
Practice Address - Street 1:215 SW 42ND AVE
Practice Address - Street 2:APT 509
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1725
Practice Address - Country:US
Practice Address - Phone:786-512-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist