Individual
CLINT COPACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 894-3001
Mailing address
4504 W SPRUCE ST APT 326, TAMPA, FL 33607-5885
(586) 823-1035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS66387
FL
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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