Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
May 22, 2007
License(s)
PS40687 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 15481 SW 11TH TER | Miami, FL 33194-2445 | 305-383-9683 |
| LOCATION | 2505 NW 54TH ST | Miami, FL 33142-2947 | 305-637-8311 |
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