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Individual

LAQUINTA W HYPPOLITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9021 TAFT ST, PEMBROKE PINES, FL 33024-4676
(954) 362-4738
(954) 362-4739
Mailing address
4305 SW 179TH WAY, MIRAMAR, FL 33029-6303
(954) 812-3843
(954) 362-4739

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS 35252
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026089400
FL
Enumeration date
05/16/2006
Last updated
10/08/2014
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