Most Relevant Information
Provider Data
| NPI Number: | 1003358409 |
| Provider Name: | KYLE ALLAN LICHLYTER RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS54822 |
Most Important Dates
| Enumeration Date: | 11/16/2016 |
| Last Updated: | 11/16/2016 |
Provider Practice Location
5171 NW 43RD ST
GAINESVILLE
FL
326064456
Practice Location Phone/Fax
| Phone: | 3523728786 |
| Fax: |
Provider Mailing Location
676 TURKEY CRK
7309 NW 115TH RD
ALACHUA
FL
326159309
Provider Mailing Phone/Fax
| Phone: | 8126399220 |
| Fax: |