Individual
ASHLEY MARIE KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-8465
Mailing address
12407 PAGODA PL, TEMPLE TERRACE, FL 33637-5307
(850) 374-2995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS58184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS58184
FL PHARMACIST LICENSE
FL
Enumeration date
05/04/2021
Last updated
05/04/2021
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