AMANDA J PROVENZANO
Pharmacy at 71 Ter, Pompano Beach, FL

License number
Florida 62021
Issued Date
Aug 18, 2015
Effective Date
Sep 22, 2016
Expiration Date
Dec 31, 2018
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
6162 NW 71St Ter, Pompano Beach, FL 33067
Phone
(954) 344-0682
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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