SPENCER PROVAN, RPH

Pharmacist

Active Individual
NPI: 1245511286

Practice Address

1208 DRISCOLL DR
Lake Placid, FL 33852

Phone: (863) 385-9929

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes PS17671 (FL)

Frequently Asked Questions

NPI 1245511286 is the National Provider Identifier for SPENCER PROVAN, RPH, a Pharmacist provider located in Lake Placid, FL. This NPI was enumerated on September 5, 2011.
SPENCER PROVAN, RPH practices at 1208 DRISCOLL DR, Lake Placid, FL 33852.

Quick Facts

NPI
1245511286
Type
Individual
Enumerated
Sep 5, 2011
Last Updated
Sep 5, 2011

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