Lisa Waite
NPI #1457752164 in Flagler Beach, Florida
Provider Information
- NPI Number
- 1457752164
- Entity Type
- Individual
- Name
- Lisa Waite
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 12, 2014
- Last Updated
- Sep 12, 2014
Practice Location
- Address
- 414 BEACH VILLAGE DR
- City
- Flagler Beach
- State
- Florida
- ZIP Code
- 32136-3063
- Phone
- (386) 517-2781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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