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DR. LISA G DEPETRIS PHARMD NPI 1699057984


NPI Information

NPI: 1699057984
Provider Name: DR. LISA G DEPETRIS, PHARMD
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
12647 KERNAN FOREST BLVD
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 993-6383
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DR. Lisa G Depetris, PHARMD is a pharmacist in Jacksonville, FL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. DR. Lisa G Depetris, PHARMD NPI is 1699057984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12647 KERNAN FOREST BLVD
JACKSONVILLE, FL
ZIP 32225-501
Phone: (904) 993-6383

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistPS45057FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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