LISA T PHAN
Pharmacy at Larkspur Ln, Fort Pierce, FL

License number
Florida 55450
Issued Date
Aug 6, 2014
Effective Date
Jan 4, 2017
Expiration Date
Dec 31, 2016
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address 2
656 NE Larkspur Ln, Fort Pierce, FL 34983
6206 Commerce Palms Dr, Tampa, FL 33601
Phone
(772) 607-3368