Provider Demographics
NPI:1518238922
Name:PEOPLES, VONZELL R
Entity Type:Individual
Prefix:MRS
First Name:VONZELL
Middle Name:R
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 N NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-5017
Mailing Address - Country:US
Mailing Address - Phone:813-241-9885
Mailing Address - Fax:813-247-9771
Practice Address - Street 1:3917 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-5017
Practice Address - Country:US
Practice Address - Phone:813-241-9885
Practice Address - Fax:813-247-9771
Is Sole Proprietor?:No
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS22237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist