Individual
DANA BETH KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 CATLIN DR, TAMPA, FL 33647-2603
(813) 842-0450
Mailing address
6041 CATLIN DR, TAMPA, FL 33647-2603
(813) 842-0450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS28937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS28937
PHARMACIST LICENSE
FL
05
—
PS28937
—
FL
Enumeration date
08/21/2017
Last updated
10/18/2017
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