Broadhead, Laura Elizabeth
Broadhead, Laura Elizabeth is an sole proprietor health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Broadhead, Laura Elizabeth can be contacted via phone (850) 863-7572.Contact Information
Primary practice address
1000 Mar Walt Dr
Fort Walton Beach FL 32547-6708
Phone: (850) 863-7572
Fax: (850) 315-0523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS51121 | Florida |
Profile Details
| NPI number | 1962824789 |
|---|---|
| LBN Legal business name | Broadhead, Laura Elizabeth |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2014 |
| Last updated | Jan 14th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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