Individual
COLLEEN A HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
765 115TH AVE, TREASURE ISLAND, FL 33706-1121
(813) 340-5487
Mailing address
765 115TH AVENUE, TREASURE ISLAND, FL 33706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21548
FL
183500000X
Pharmacist
PU4342
FL
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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