NPI 1891930020

Emmanuel Amil Detera

Practitioner Pharmacy Technician Viera, FL

Practice location

Address: 2900 Veterans Way, Viera, FL 32940-8007
Phone: (321) 637-3788

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1891930020
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2008
Record last updated: 2 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.