Healthcare Provider Details

I. General information

NPI: 1740754175
Provider Name (Legal Business Name): KARIN EILEEN GUZZLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 02/04/2024
Certification Date: 02/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 W BAY DR
LARGO FL
33770-3221
US

IV. Provider business mailing address

812 S OREGON AVE
TAMPA FL
33606-2808
US

V. Phone/Fax

Practice location:
  • Phone: 727-518-7747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS40486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: