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Diana Ximena Cruz Mactavish
Pharmacist in Lake Park, Florida
NPI 1659892214

Diana Ximena Cruz Mactavish is a Pharmacist based in Lake Park, FL. Diana Ximena Cruz Mactavish practices in Lake Park, FL. The NPI Number for Diana Ximena Cruz Mactavish is 1659892214 and holds a License No. PS56388 (Florida).

The current practice location address for Diana Ximena Cruz Mactavish is 500 N Congress Ave, Lake Park, FL and can be reached out via phone at 561-352-2381.

Location: 500 N Congress Ave, Lake Park, FL, 33403-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659892214
Provider Name
Diana Ximena Cruz Mactavish
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 N Congress Ave, Lake Park, FL, 33403-3802
Phone Number
561-352-2381
Fax Number
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 N Congress Ave
City
Lake Park
State
Florida
Zip
33403-3802
Phone Number
561-352-2381
Fax Number
person
Provider Business Mailing Address Details
Address
500 N Congress Ave
City
Lake Park
State
Florida
Zip
33403-3802
Phone Number
561-352-2381
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PS56388 (Florida)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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