LISA BRANTLEY

TAMPA, FL
NPI1811304702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS50437)
Additional Taxonomies183500000X Pharmacist
(Licence: KY  013835)
Enumeration Date2014-07-13
Last Update Date2014-07-13
Business Address
LISA BRANTLEY PHARMD
10928 CROSS CREEK BLVD
TAMPA, FL 33647-4034
Phone number: 813-501-8968
Mailing Address
LISA BRANTLEY PHARMD
10928 CROSS CREEK BLVD
TAMPA, FL 33647-4034
Phone number: 813-501-8968