Individual
ALYSIA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10150 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3612
(813) 387-1162
Mailing address
1009 CALLE ROSA PL, RUSKIN, FL 33573-6601
(813) 634-7985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16255
NC
183500000X
Pharmacist
42202
TX
183500000X
Pharmacist
Primary
PS31289
FL
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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