Facts
- Status
- A
- Credential
- pharm D
- Type
- Individual
- Enumeration date
- 2008-09-10
- Last updated
- 2008-09-10
Specialties
Licenses
- License FL
- 38083
Location
- Practice location
- 900 N ROBERTS AVE
- City
- ARCADIA FL
- Postal code
- 342668712
- Phone
- 863-494-8448
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.