Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jan 18, 2025
License(s)
67799 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5945 US HIGHWAY 301 N | Ellenton, FL 34222-2953 | |
| LOCATION | 5945 US HIGHWAY 301 N | Ellenton, FL 34222-2953 | 941-722-2884 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.