| Gloria Ilse Tatiana Amezquita Lara, PHARMACIST | |
|
7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | |
| (321) 677-0531 | |
| (321) 677-0537 |
| Full Name | Gloria Ilse Tatiana Amezquita Lara |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 7575 Osceola Polk Line Rd, Davenport, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770340747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PS66792 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Ilse Tatiana Amezquita Lara, PHARMACIST 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 Ph: (321) 677-0531 | Gloria Ilse Tatiana Amezquita Lara, PHARMACIST 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 Ph: (321) 677-0531 |
Marshaun Ford, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 39883 Highway 27, Davenport, FL 33837 Phone: 863-421-9245 | |
Dr. Tiffany Alexandria Foster-hammonds, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 39902 Highway 27, Davenport, FL 33837 Phone: 863-419-2721 | |
Dr. Max Beauvoir, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 Fax: 321-677-0537 | |
Mr. Anthony Zapico, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5000 Grandview Pkwy, T-2366, Davenport, FL 33837 Phone: 863-256-1052 Fax: 863-256-1052 | |
Dr. Micka Chavre, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 45549 Highway 27, Davenport, FL 33897 Phone: 863-420-6120 Fax: 863-420-6120 | |
Sean Tyrone Ustic, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-419-2366 | |
Mr. Anibal Resto, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Ln Rd, Davenport, FL 33896 Phone: 321-677-0531 Fax: 321-677-0537 |