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Individual
MRS. MAGDA IVELISSE DIAZ-COLON
Active
Individual
MRS. MAGDA IVELISSE DIAZ-COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS23072
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PU5772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270969
NABP
FL
01
—
PS23072
BOARD OF PHARMACY PHARMACIST LICENSE NUMBER
FL
01
—
PU5772
BOARD OF PHARMACY CONSULTANT PHARMACIST
FL
Enumeration date
09/23/2013
Last updated
09/23/2013
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