Individual
ALYSSA YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 E VENICE AVE, VENICE, FL 34292-3064
(941) 480-1889
Mailing address
1445 E VENICE AVE, VENICE, FL 34292-3064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS43094
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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