| Diana Ximena Cruz Mactavish, | |
|
500 N Congress Ave, Lake Park, FL 33403-3802 | |
| (561) 352-2381 | |
| Not Available |
| Full Name | Diana Ximena Cruz Mactavish |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 500 N Congress Ave, Lake Park, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659892214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PS56388 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Ximena Cruz Mactavish, 500 N Congress Ave, Lake Park, FL 33403-3802 Ph: (561) 352-2381 | Diana Ximena Cruz Mactavish, 500 N Congress Ave, Lake Park, FL 33403-3802 Ph: (561) 352-2381 |
Stephenie Faye Moock, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 N Congress Ave, Lake Park, FL 33403 Phone: 561-352-2381 | |
Dr. Sofonie Luinord, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 N Congress Ave, Lake Park, FL 33403 Phone: 561-842-8966 | |
Mr. Alan F Simcich, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 228 U.s. Hwy One, Lake Park, FL 33403 Phone: 561-844-1191 Fax: 564-842-1588 | |
Nicholas Fragiskakis, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 N Congress Ave, Lake Park, FL 33403 Phone: 561-352-2381 | |
Nicole Rene Pardue, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 N Congress Ave, Lake Park, FL 33403 Phone: 561-352-2381 | |
Mrs. Rosa Mari Bassett, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 N Congress Ave, T-1941, Lake Park, FL 33403 Phone: 561-352-2381 Fax: 561-352-2381 |