Individual
DIEGO ANDRES VILLALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10121 SEMINOLE BLVD, SEMINOLE, FL 33772-2543
(727) 398-7308
Mailing address
8520 75TH AVE, SEMINOLE, FL 33777-4434
(575) 590-4397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS51055
FL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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