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Organization
WELAKA PHARMACY LLC
Active
Organization
WELAKA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P BALL RPH (P)
(386) 467-9994
Entity
Organization
Contact information
Practice address
698 THIRD AVENUE, WELAKA, FL 32193
(386) 467-9994
(386) 467-3112
Mailing address
698 THIRD AVE, WELAKA, FL 32193
(386) 467-9994
(386) 467-3112
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH16228
FL
Other
Enumeration date
01/30/2007
Last updated
07/05/2013
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