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Individual

MR. KASEY WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
10425 NARCOOSSEE RD, ORLANDO, FL 32832-6902
(407) 384-9353
Mailing address
3142 STONECASTLE RD, ORLANDO, FL 32822-7879
(407) 485-3454

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30031636

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30031636
PHARMACY TECHNICIAN CERTIFICATION BOARD
01
66496
DEPARTMENT OF HEALTH
FL
Enumeration date
02/09/2018
Last updated
02/09/2018
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