Provider Demographics
NPI:1780912998
Name:LAPINSKI, JACLYN BOURGEOIS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JACLYN
Middle Name:BOURGEOIS
Last Name:LAPINSKI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:JACLYN
Other - Middle Name:CLARE
Other - Last Name:BOURGEOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1350 N WICKHAM RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-8945
Mailing Address - Country:US
Mailing Address - Phone:321-254-5507
Mailing Address - Fax:
Practice Address - Street 1:1350 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8945
Practice Address - Country:US
Practice Address - Phone:321-254-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-27
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist