Individual
CANDICE THIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
15395 NW 82ND AVE, MIAMI LAKES, FL 33016-6478
(305) 364-1143
Mailing address
18520 NW 67TH AVE # 204, HIALEAH, FL 33015-3302
(813) 507-2610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS44144
PHARMACIST LICENSE
FL
Enumeration date
12/11/2020
Last updated
12/11/2020
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