Most Relevant Information
Provider Data
| NPI Number: | 1003455569 |
| Provider Name: | ANDREA CARSON |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS58424 |
Most Important Dates
| Enumeration Date: | 01/02/2020 |
| Last Updated: | 01/02/2020 |
Provider Practice Location
601 E ROLLINS ST
ORLANDO
FL
328031248
Practice Location Phone/Fax
| Phone: | 9418752033 |
| Fax: |
Provider Mailing Location
601 E ROLLINS ST
ORLANDO
FL
328031248
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |