MR. Richard Ta

NPI #1205436680 in Lake Mary, Florida

Provider Information

NPI Number
1205436680
Entity Type
Individual
Name
MR. Richard Ta
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 27, 2020
Last Updated
Oct 27, 2020

Practice Location

Address
3687 FARM BELL PL
State
Florida
ZIP Code
32746-4107
Phone
(352) 729-3839

Specialties & Taxonomy Codes

Specialty
Pharmacist

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