Gloria Ilse Tatiana Amezquita Lara
Pharmacist
7575 Osceola Polk Line Rd, Davenport
Florida, 33896-9112
321-677-0531 321-677-0537
Gloria Ilse Tatiana Amezquita Lara is a pharmacist in Davenport, Florida. Patients can reach her at 7575 Osceola Polk Line Rd, Davenport or contact her on 321-677-0531. Active license number of Gloria Ilse Tatiana Amezquita Lara is PS66792 for Pharmacist in Florida.
Gloria Ilse Tatiana Amezquita Lara is 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.
Complete Profile:
Gloria Ilse Tatiana Amezquita Lara speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Gloria Ilse Tatiana Amezquita Lara |
| Specialization: | Pharmacist |
| Credentials: | PHARMACIST |
| Gender: | Female |
| Location: | 7575 Osceola Polk Line Rd, Davenport,
Florida, 33896-9112 |
| Phone: | 321-677-0531 |
| Fax: | 321-677-0537 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Gloria Ilse Tatiana Amezquita Lara are as mentioned below.
| NPI Number: | 1770340747 |
| NPI Enumeration Date: | 05 Mar, 2024 |
| NPI Last Update On: | 05 Mar, 2024 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gloria Ilse Tatiana Amezquita Lara are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | PS66792 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7575 Osceola Polk Line Rd,
Davenport, Florida |
| Zip: | 33896-9112 |
| Phone Number: | 321-677-0531 |
| Fax Number: | 321-677-0537 |
Patients can reach Gloria Ilse Tatiana Amezquita Lara at
7575 Osceola Polk Line Rd, Davenport, Florida or can
call on phone at 321-677-0531.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.