Individual provider · Type 1 NPI

Fidelis Ifeanyi Ezewike Jr.

Pharmacist · Palm Bay, FL

NPI number 1003395955 Active

Practice location

2034 Palm Place Dr NE
Palm Bay, FL 32905-3960

Mailing address

17355 SW 33rd Ct
Miramar, FL 33029-2606

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS56304 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003395955

Fidelis Ifeanyi Ezewike Jr.'s National Provider Identifier is 1003395955, issued on Aug 11, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Palm Bay, FL. The record was last updated on Aug 11, 2018.