Most Relevant Information
Provider Data
| NPI Number: | 1003398652 |
| Provider Name: | ELISE LYVER PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP448840 |
Most Important Dates
| Enumeration Date: | 08/30/2018 |
| Last Updated: | 08/30/2018 |
Provider Practice Location
13000 BRUCE B DOWNS BLVD
TAMPA
FL
336124745
Practice Location Phone/Fax
| Phone: | 8139722000 |
| Fax: |
Provider Mailing Location
8619 WHITE SWAN DR UNIT 204
TAMPA
FL
336142275
Provider Mailing Phone/Fax
| Phone: | 6106399696 |
| Fax: |