Individual
CAM LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4110 GEORGE RD, SUITE 150, ROCKY POINT, FL 33634-7411
(866) 339-2787
(813) 452-5200
Mailing address
4110 GEORGE RD, SUITE 150, ROCKY POINT, FL 33634-7411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40041
FL
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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