Most Relevant Information
Provider Data
| NPI Number: | 1003341769 |
| Provider Name: | SAMANTHA JUSTYN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS51835 |
Most Important Dates
| Enumeration Date: | 05/01/2017 |
| Last Updated: | 05/01/2017 |
Provider Practice Location
12612 CHALLENGER PARKWAY, SUITE 365
ORLANDO
FL
32826
Practice Location Phone/Fax
| Phone: | 4073068441 |
| Fax: |
Provider Mailing Location
12612 CHALLENGER PARKWAY, SUITE 365
ORLANDO
FL
32826
Provider Mailing Phone/Fax
| Phone: | 4073068441 |
| Fax: |