Individual
ADENIKE CHRISTIANA GANSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4102 HERITAGE LAKE CT, LUTZ, FL 33558
(813) 784-7563
(813) 949-6609
Mailing address
4102 HERITAGE LAKE CT, LUTZ, FL 33558
(813) 784-7563
(813) 949-6609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS29870
FL
Other
Enumeration date
12/18/2006
Last updated
07/09/2007
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