HOLLY LYNN PROVANCE

TAMPA, FL
NPI1003187501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps0028640)
Enumeration Date2012-01-16
Last Update Date2012-01-16
Business Address
-- HOLLY LYNN PROVANCE rph
6503 W WATERS AVE
TAMPA, FL 33634-2207
Phone number: 813-887-3166
Mailing Address
-- HOLLY LYNN PROVANCE rph
6503 W WATERS AVE
TAMPA, FL 33634-2207
Phone number: 813-887-3166
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