Individual
CARRIE HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7040 LAND O LAKES BLVD UNIT 102, LAND O LAKES, FL 34638-3201
(813) 803-7303
(813) 803-7305
Mailing address
7040 LAND O LAKES BLVD UNIT 102, LAND O LAKES, FL 34638-3201
(813) 803-7303
(813) 803-7305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 45987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS 45987
PHARMACIST
FL
Enumeration date
12/30/2014
Last updated
11/22/2016
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