Gloria Ilse Tatiana Amezquita Lara, PHARMACIST
Gloria Ilse Tatiana Amezquita Lara, PHARMACIST is a Pharmacist in Davenport, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
7575 Osceola Polk Line RdDavenport, FL 33896-9112
Phone: (321) 677-0531
Fax: (321) 677-0537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence PS66792 (FL) |
|---|
Record details
| NPI number | 1770340747 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHARMACIST |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2024 |
| Last updated in NPPES | March 5, 2024 |
| Certification date | March 5, 2024 |
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Dr. Max Beauvoir, PHARMD
7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 · (321) 677-0531