Individual
AMARILIS LOPERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 NOLTE RD, SAINT CLOUD, FL 34772-8762
(407) 556-0994
Mailing address
2125 NOLTE RD, SAINT CLOUD, FL 34772-8762
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PSI35149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L165000837860
RETAIL PHARMACY
—
Enumeration date
12/18/2018
Last updated
12/18/2018
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