Provider Demographics
NPI:1205534799
Name:CORBETT, TONYA C (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MISS
First Name:TONYA
Middle Name:C
Last Name:CORBETT
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 CASTLE WOOD TER APT 200
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-3687
Mailing Address - Country:US
Mailing Address - Phone:407-271-7736
Mailing Address - Fax:
Practice Address - Street 1:5710 YOUNG PINE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-7400
Practice Address - Country:US
Practice Address - Phone:847-315-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104346183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician