Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER PROVAN, RPH
Active Sole ProprietorSPENCER PROVAN, RPH is a Pharmacist healthcare provider located in LAKE PLACID, Florida. NPI 1245511286 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LAKE PLACID, FL
Registration Details
- NPI Number
- 1245511286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2011 (14.757197912972 yrs)
- Last Updated
- Sep 5, 2011
- License
-
PS17671 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1208 DRISCOLL DRLAKE PLACID, FL, 338529647Browse FL providers · Browse ZIP 33852
- Phone
- 8633859929
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LAKE PLACID, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. JEWEL SHARON CAMILLE RICHARDS-LEE | RPH | 1811975766 |
| ELAINE C. STRONG | — | 1083734149 |
| MELINDA S MURRAY | PHARMACIST | 1699895854 |
| MRS. SILVIA GONZALEZ SWAFORD | PHARM D | 1275752172 |
| MR. LAWRENCE DEAN STIDHAM | RPH | 1740495779 |
| DR. NIKKI Y DICKERSON | PHARM.D | 1336401595 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.