Provider Demographics
NPI:1730333402
Name:ESTRILL, TAMARA D (RPH)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:D
Last Name:ESTRILL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7930 WOODLAND CENTER BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2436
Mailing Address - Country:US
Mailing Address - Phone:888-225-5967
Mailing Address - Fax:909-799-4364
Practice Address - Street 1:7930 WOODLAND CENTER BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2436
Practice Address - Country:US
Practice Address - Phone:888-225-5967
Practice Address - Fax:909-799-4364
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist