Individual
DR. SMITA SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
4155 W LAKE MARY BLVD, LAKE MARY, FL 32746-2410
(407) 330-9190
(407) 547-3513
Mailing address
4155 W LAKE MARY BLVD, LAKE MARY, FL 32746-2410
(407) 330-9190
(407) 547-3513
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS54076
FL
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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