Individual
CANDICE LALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11890 BISCAYNE BLVD, NORTH MIAMI, FL 33181-3112
(305) 892-9422
Mailing address
11890 BISCAYNE BLVD, NORTH MIAMI, FL 33181-3112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61409
FL
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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