Provider Demographics
NPI:1356525398
Name:LAROCHE, JOSEE (RPH)
Entity type:Individual
Prefix:MS
First Name:JOSEE
Middle Name:
Last Name:LAROCHE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SE 3RD AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1139
Mailing Address - Country:US
Mailing Address - Phone:954-522-3132
Mailing Address - Fax:954-759-6539
Practice Address - Street 1:7 AVALON RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3901
Practice Address - Country:US
Practice Address - Phone:516-708-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041676183500000X
FLPS57429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist