Individual
AMY CRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 DALE MABRY HWY, LUTZ, FL 33548-3004
(813) 435-2934
Mailing address
5610 PINEY LANE DR, TAMPA, FL 33625-4042
(813) 960-2608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23057
FL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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