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Individual
MR. LARRY MAURICE BURGESS
Active
Individual
MR. LARRY MAURICE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
08337
NC
183500000X
Pharmacist
Primary
PS23032
FL
183500000X
Pharmacist
PU 3512
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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