Individual
ALTHEA MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23201 SW 112TH AVE, HOMESTEAD, FL 33032-7175
(305) 971-2613
Mailing address
23201 SW 112TH AVE, HOMESTEAD, FL 33032-7175
(305) 971-2613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS15699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99999999
—
FL
Enumeration date
05/23/2022
Last updated
05/23/2022
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