LATISHA E WALLACE
Pharmacy at 1 Ave, Miami, FL

License number
Florida 4721
Issued Date
Nov 2, 2009
Effective Date
Nov 22, 2016
Expiration Date
Dec 31, 2018
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
915 NW 1St Ave APT L-212, Miami, FL 33136
Phone
(786) 277-5397
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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