Individual
BEATRIZ PEALAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 HYPOLUXO RD, LAKE WORTH, FL 33463-7508
(561) 642-2608
Mailing address
4805 WITCH LN, LAKE WORTH, FL 33461-5349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS55419
PHARMCIST'S LICENSE
FL
Enumeration date
08/26/2016
Last updated
08/26/2016
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