Individual
AMPHAPHONE SELENA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
100 CHURCH ST FL 15, NEW YORK, NY 10007-2647
(212) 671-7376
Mailing address
15266 SW 49TH ST, DAVIE, FL 33331-2834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS62091
FL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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