Individual provider · Type 1 NPI

Tina Ittera

Pharmacist · St. Cloud, FL

NPI number 1679409825 Active

Practice location

4073 13th St
St. Cloud, FL 34769-6701

Call (407) 969-8130 Map

Mailing address

4507 Seafarer Way
Orlando, FL 32817-3181

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS40997 (FL)

Pharmacist: 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…

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About NPI 1679409825

Tina Ittera's National Provider Identifier is 1679409825, issued on Jun 23, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Cloud, FL. The record was last updated on Jun 23, 2026.