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LISA M LIBBY RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1497036917

Individual Registrant:
 LISA M LIBBY RPH
Gender: F
Sole Proprietor

Location and contact information for practice:
3004 S ATLANTIC AVE  DAYTONA BEACH SHORES, FL 32118-6102 US
Tel: 386-788-6344  Fax: 386-788-8703

Contact information for business:
3004 S ATLANTIC AVE  DAYTONA BEACH SHORES, FL 32118-6102 US
Tel: 386-788-6344  Fax: 386-788-8703

Registration Information:
NPI: 1497036917
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS0025889

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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