Individual
EDUARDO ANCIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPHT, CPHT-ADV
Contact information
Practice address
901 NW 17TH ST STE D, MIAMI, FL 33136-1135
(786) 717-4183
(305) 355-2288
Mailing address
15760 BULL RUN RD APT 170G, MIAMI LAKES, FL 33014-2140
(954) 559-2660
(305) 585-3995
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT10977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500107010
PHARMACY TECHNICIAN CERTIFICATION BOARD
FL
01
—
5303019942
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
01
—
RPT10977
FLORIDA BOARD OF PHARMACY LICENSE
FL
Enumeration date
07/02/2020
Last updated
10/17/2023
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