Individual
MS. ANDRA M TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, MS
Contact information
Practice address
1711 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2525
(954) 462-8185
(954) 462-7927
Mailing address
10260 SW 20TH CT, MIRAMAR, FL 33025-1775
(305) 788-5334
(954) 450-1803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13474
LA
183500000X
Pharmacist
PS25645
FL
183500000X
Pharmacist
Primary
PU4003
FL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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