Individual provider · NPI-1

Lorraine N Keites, RPH

Pharmacist · Hawthorne, FL

NPI number1811013667
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1811013667
Entity type
Individual (NPI-1)
Name
Lorraine N Keites
Credential
RPH
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS14220FLYes

Practice location

126 Point Louisa Rd
Hawthorne, FL 32640-5541

Phone 352-481-4521 · Fax 352-481-3801

Mailing address

Po Box 886
Hawthorne, FL 32640-0886

Phone 352-481-4521 · Fax 352-481-3801

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