Individual
TANYA LESHEA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
240 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3400
(386) 255-5569
Mailing address
240 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3400
(386) 255-5569
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS7876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592897172
—
FL
Enumeration date
06/21/2019
Last updated
08/14/2023
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