Individual
DR. ALICIA ANNE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
10500 ULMERTON RD, T-0654, LARGO, FL 33771-3544
(727) 581-4424
(727) 581-4424
Mailing address
10500 ULMERTON RD, T-0654, LARGO, FL 33771-3544
(727) 581-4424
(727) 581-4424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0031892
FL
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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