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Individual

DR. ALEASHA X. ICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
2201 N YOUNG BLVD, CHIEFLAND, FL 32626-1957
(352) 493-0775
Mailing address
7472 APACHE TRL, SPRING HILL, FL 34606-2507
(352) 610-0327

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60818
FL
390200000X
Student in an Organized Health Care Education/Training Program
PSI35947
FL

Other

Enumeration date
10/09/2017
Last updated
06/23/2020
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