Individual
DR. DEBORAH J LARISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5420 9TH ST N, ST PETERSBURG, FL 33703-1202
(727) 526-5769
(727) 526-0899
Mailing address
5420 9TH ST N, ST PETERSBURG, FL 33703-1202
(727) 526-5769
(727) 526-0899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS37938
FL
183500000X
Pharmacist
PU6115
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS37938
FL
1835P1200X
Pharmacotherapy Pharmacist
PS37938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS37938
FLROIDA PHARMACY LICENSE
FL
01
—
PU6115
CONSULTANT PHARMACIST LIC
FL
Enumeration date
12/08/2005
Last updated
09/17/2012
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