Individual
TRACY J HOUSEHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 972-8485
(813) 979-3994
Mailing address
2916 W SITIOS ST, TAMPA, FL 33629-6027
(813) 250-0537
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
PS25227
FL
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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