Individual
DEATRICK LEATRICE GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
14901 NE 6TH AVE, MIAMI, FL 33161-2238
(305) 949-5685
Mailing address
14901 NE 6TH AVE, MIAMI, FL 33161-2238
(305) 949-5685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26793
FL
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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