Individual
CAMILLE CHALELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13589 STATE ROAD 54, ODESSA, FL 33556-3527
(813) 345-3917
Mailing address
12500 STATE ROAD 54, ODESSA, FL 33556-3480
(727) 376-9490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60945
FL
Other
Enumeration date
08/02/2020
Last updated
01/13/2023
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