Individual
ROCHELLE ALICE WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 MANATEE AVE W, BRADENTON, FL 34209-3441
(941) 792-1213
Mailing address
3211 42ND ST W, BRADENTON, FL 34205-1130
(574) 207-3356
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1693757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1693757
NABP
FL
Enumeration date
11/04/2022
Last updated
11/04/2022
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