Provider Demographics
NPI:1932288826
Name:VIRANI, GULNAZ (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:GULNAZ
Middle Name:
Last Name:VIRANI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13200 N CALUSA CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1669
Mailing Address - Country:US
Mailing Address - Phone:305-385-4374
Mailing Address - Fax:
Practice Address - Street 1:WINN DIXIE PHARMACY
Practice Address - Street 2:1155 NW 11 ST
Practice Address - City:MIAMI
Practice Address - State:DC
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-545-5276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS24201183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist