Individual
MISS BIANCA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8252 OLD TRAMWAY DR, MELBOURNE, FL 32940-2184
(321) 917-9971
Mailing address
8252 OLD TRAMWAY DR, MELBOURNE, FL 32940-2184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PSI28817
FL
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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