Individual
FAYA FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
6201 25TH WAY S, ST PETERSBURG, FL 33712-5231
(727) 867-4330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21305
FL
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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