Individual
ANGELITA NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5869 LAKE WORTH RD, GREENACRES, FL 33463-3209
(561) 501-1874
Mailing address
5869 LAKE WORTH RD, GREENACRES, FL 33463-3209
(561) 501-1874
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
FL
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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