Individual
ANDRE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 NW 175TH ST, MIAMI GARDENS, FL 33055-3541
(786) 633-9684
Mailing address
5400 NW 175TH ST, MIAMI GARDENS, FL 33055-3541
(786) 633-9684
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT77316
FL
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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