Individual
AMITA GHANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
1550 SE FLORESTA DR, PORT ST LUCIE, FL 34983-4069
(772) 340-4142
(772) 785-5753
Mailing address
1550 SE FLORESTA DR, PORT ST LUCIE, FL 34983-4069
(772) 340-4142
(772) 785-5753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44232
FL
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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