Individual
AKILAH SIMONE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 N ARMENIA AVE STE C, TAMPA, FL 33607-6453
(813) 521-7052
Mailing address
4160 N ARMENIA AVE STE C, TAMPA, FL 33607-6453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS41127
STATE LICENSE
FL
Enumeration date
06/12/2019
Last updated
06/12/2019
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