Individual
VIVIAN OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 NE US HIGHWAY 19, CRYSTAL RIVER, FL 34429-4235
(352) 563-0966
Mailing address
10771 GREAT FALLS LN, TAMPA, FL 33647-2758
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS65596
FL
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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