Individual
DR. DEBRA LIGHTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
8780 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5861
(352) 751-0304
(352) 751-0305
Mailing address
10775 SW 47TH AVE, OCALA, FL 34476-4262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS46609
STATE LICENSE
FL
Enumeration date
10/21/2015
Last updated
10/21/2015
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