Individual
JANNISE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10635 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071-5669
(954) 345-9250
(954) 345-9248
Mailing address
10635 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071-5669
(954) 345-9250
(954) 345-9248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PS58174
FL
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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