Elizabeth Countryman, PharmD
Pharmacist in Brandon, FL. Individual provider (NPI-1).
NPI number1487927554
StatusActive
Last updated in NPPESFeb 20, 2012
Details
- NPI
- 1487927554
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Countryman
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2012
- Last updated
- Feb 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS45904 | FL | Yes |
| 183500000X | Pharmacist | 051291569 | IL |
Practice location
930 Providence RdBrandon, FL 33511-8842
Phone 813-684-7560
Mailing address
1114 Hardwood DrValrico, FL 33596-8114
Phone 630-400-0971
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