Provider Demographics
NPI:1184958449
Name:GOLDSTEIN, ABBY MELISSA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:MELISSA
Last Name:GOLDSTEIN
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 1:11225 NW 2ND CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8111
Mailing Address - Country:US
Mailing Address - Phone:215-779-4033
Mailing Address - Fax:
Practice Address - Street 1:11225 NW 2ND CT
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8111
Practice Address - Country:US
Practice Address - Phone:215-779-4033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443958183500000X
PARPI001597183500000X
FLPS52931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist