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1437429172
DIANE L ELIS
TAMPA, FL
NPI
1437429172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL ps31971)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Ms. DIANE L ELIS RPh
15602 N DALE MABRY HWY
TAMPA, FL 33618-1606
Phone number: 813-264-7722
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Mailing Address
Ms. DIANE L ELIS RPh
12359 WITHERIDGE DR
TAMPA, FL 33624-5728
Phone number: 813-968-3334
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