Travis A Knudsen, Pharmacist Intern
Student in an Organized Health Care Education/Training Program in Apopka, FL. Individual provider (NPI-1).
NPI number1649874751
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1649874751
- Entity type
- Individual (NPI-1)
- Name
- Travis A Knudsen
- Credential
- Pharmacist Intern
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 29, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | PSI39341 | FL | Yes |
| 183700000X | Pharmacy Technician | PSI39341 | FL |
Practice location
1500 S Orange Blossom TrlApopka, FL 32703-7603
Phone 407-553-4108
Mailing address
1500 S Orange Blossom TrlApopka, FL 32703-7603
Phone 407-553-4108
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