Individual
ANGELA C CHIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
18910 US HIGHWAY 441, MOUNT DORA, FL 32757-6736
(352) 735-0600
Mailing address
3307 WOLF RUN RD, MOUNT DORA, FL 32757-9741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS53871
DEPARTMENT OF HEALTH, FLORIDA
FL
Enumeration date
06/26/2020
Last updated
06/26/2020
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