Most Relevant Information
Provider Data
| NPI Number: | 1003416173 |
| Provider Name: | LATISHA SAMUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS33752 |
Most Important Dates
| Enumeration Date: | 10/28/2020 |
| Last Updated: | 10/28/2020 |
Provider Practice Location
2550 IMMOKALEE RD
NAPLES
FL
341101410
Practice Location Phone/Fax
| Phone: | 2395947015 |
| Fax: |
Provider Mailing Location
2550 IMMOKALEE RD
NAPLES
FL
341101410
Provider Mailing Phone/Fax
| Phone: | 2395947015 |
| Fax: |