Individual
AMY AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 E IRLO BRONSON MEMORIAL HWY, SAINT CLOUD, FL 34771-8722
(407) 892-5232
Mailing address
4855 E IRLO BRONSON MEMORIAL HWY, SAINT CLOUD, FL 34771-8722
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT113669
FL
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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