Individual
DR. BETTY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
3204 TARAGROVE DR, TAMPA, FL 33618-2545
(225) 505-3374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
53030
TX
183500000X
Pharmacist
Primary
PS62921
FL
183500000X
Pharmacist
PST.019891
LA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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