Williams, Tanya Leshea

Williams, Tanya Leshea is an sole proprietor health care provider with primary practice located at 240 N Frederick Ave , Daytona Beach FL 32114-3400. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Williams, Tanya Leshea can be contacted via phone (386) 255-5569.

Contact Information

Primary practice address
240 N Frederick Ave Daytona Beach FL 32114-3400
Phone: (386) 255-5569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS7876 Florida

Profile Details

NPI number 1225699143
LBN Legal business name Williams, Tanya Leshea
Credentials DOCTOR OF PHARMACY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2019
Last updated Aug 14th, 2023 - about 2 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 1225699143 NPPES
Florida MEDICAID 592897172

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