Hamilton, Teresa Laraine

Hamilton, Teresa Laraine is an individual health care provider with primary practice located at 101 Ariana St , Lakeland FL 33803-2159. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hamilton, Teresa Laraine can be contacted via phone (863) 688-5525.

Contact Information

Primary practice address
101 Ariana St Lakeland FL 33803-2159
Phone: (863) 688-5525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202206466 Virginia

Profile Details

NPI number 1184610891
LBN Legal business name Hamilton, Teresa Laraine
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184610891 NPPES
Virginia MEDICAID 010128307

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