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NPI Code Detail

MEDICARE: TIFFANY ALSTON

MEDICARE: TIFFANY ALSTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS33879FL

General Provider Information

NPI Number : 1992120471
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY ALSTON
Provider Business Mailing Address
First Line : 3250 VINELAND RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-4893
Country : US
Telephone Number : 407-397-1202
Fax Number : 407-397-1230
Provider Business Practice Location Address
First Line : 3250 VINELAND RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-4893
Country : US
Telephone Number : 407-397-1202
Fax Number : 407-397-1230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2014
Last Update Date : 02/20/2014

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Directions to “ TIFFANY ALSTON ” Practice Location

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