Healthcare Provider Details

I. General information

NPI: 1477683035
Provider Name (Legal Business Name): LORETTA M SETTER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORETTA M SETTER RPH

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 N LECANTO HWY
BEVERLY HILLS FL
34465-3503
US

IV. Provider business mailing address

3304 N STIRRUP DR
BEVERLY HILLS FL
34465-4691
US

V. Phone/Fax

Practice location:
  • Phone: 352-746-0096
  • Fax: 352-746-7336
Mailing address:
  • Phone: 352-746-6580
  • Fax: 352-746-7336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS36175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: