Provider Demographics
NPI:1922657857
Name:FOLCHETTI, DENISE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:FOLCHETTI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 PARK CENTRAL BLVD N
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2264
Mailing Address - Country:US
Mailing Address - Phone:866-348-0441
Mailing Address - Fax:888-443-5034
Practice Address - Street 1:3890 PARK CENTRAL BLVD N
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2264
Practice Address - Country:US
Practice Address - Phone:866-348-0441
Practice Address - Fax:888-443-5034
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist