Provider Demographics
NPI:1821370503
Name:BEGIC, LAMIJA (PHARMD, BS)
Entity Type:Individual
Prefix:
First Name:LAMIJA
Middle Name:
Last Name:BEGIC
Suffix:
Gender:F
Credentials:PHARMD, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 EVERNIA ST APT 1117
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5687
Mailing Address - Country:US
Mailing Address - Phone:561-601-5982
Mailing Address - Fax:
Practice Address - Street 1:531 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-4444
Practice Address - Country:US
Practice Address - Phone:561-547-9233
Practice Address - Fax:561-547-9282
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist