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Suppliers Pharmacy Clinic Pharmacy

Provider NPI: 1962578435

Organization Information:
Authorized Official:  HYLAN  BOXER  PHARMACY DIRECTOR  407-322-8645

Practice Location:
Tel: 407-275-4048  Fax: 407-737-2419

Business Mailing Address:
Tel: --  Fax: --

NPI Information:
NPI: 1962578435
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Clinic Pharmacy

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3336C0002X





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