Individual
DESIREE MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1201 COUNTY ROAD 581, WESLEY CHAPEL, FL 33544-9261
(813) 907-6682
Mailing address
18110 SUGAR BROOKE DR, TAMPA, FL 33647-3131
(770) 598-8431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49904
FL
183500000X
Pharmacist
RPH019240
GA
Other
Enumeration date
02/24/2013
Last updated
02/25/2013
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