Provider Demographics
NPI:1558656116
Name:GIUSTI, LORETTA ANDREA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:ANDREA
Last Name:GIUSTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 N MIAMI AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-3525
Mailing Address - Country:US
Mailing Address - Phone:786-437-0165
Mailing Address - Fax:
Practice Address - Street 1:3401 N MIAMI AVE
Practice Address - Street 2:T-2188
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3525
Practice Address - Country:US
Practice Address - Phone:786-437-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist