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Individual

ANGEL WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D., BCPP

Contact information

Practice address
8735 HENDERSON RD, REN 4, FLOOR 2, TAMPA, FL 33634-1143
(813) 290-6200
(813) 464-8818
Mailing address
8735 HENDERSON RD, REN 4, FLOOR 2, TAMPA, FL 33634-1143
(813) 290-6200
(813) 464-8818

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PS40665
FL

Other

Enumeration date
12/12/2007
Last updated
02/01/2010
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