Individual
DR. COURTNEY EDISON ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, PHARMACY (119), TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4845
Mailing address
13000 BRUCE B DOWNS BLVD, PHARMACY (119), TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
38741
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
38741
FL
Other
Enumeration date
05/24/2006
Last updated
01/05/2011
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