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Pharmacy Service Providers Pharmacist

Provider NPI: 1427477108

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
601 E ROLLINS ST  ORLANDO, FL 32803-1248 US
Tel: 407-303-1962  Fax: --

Business Mailing Address:
4653 RIVERTON DR  ORLANDO, FL 32817-1461 US
Tel: --  Fax: --

NPI Information:
NPI: 1427477108
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
N246RM2200XTechnologists, Technicians & Other Technical Service Providers
Technician, Pathology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 183500000X





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