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Individual

DR. LATRICE ROEBUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
2640 HOLLYWOOD BLVD, SUITE 209, HOLLYWOOD, FL 33020-4852
(954) 367-3843
(954) 589-0083
Mailing address
2640 HOLLYWOOD BLVD, SUITE 209, HOLLYWOOD, FL 33020-4852
(786) 210-0861

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS41695
FL
1835P1200X
Pharmacotherapy Pharmacist
PS41695
FL

Other

Enumeration date
05/19/2009
Last updated
07/15/2012
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