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Individual

DIANA M TORRES FAJARDO

Active
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Individual

DIANA M TORRES FAJARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61819
FL
183500000X
Pharmacist
6812
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61819
FLORIDA DEPARTMENT OF HEALTH - BOARD OF PHARMACY
FL
01
—
6812
PUERTO RICO PHARMACIST LICENSE
PR
Enumeration date
11/05/2020
Last updated
06/16/2021
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