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Individual
DR. JIMMY RYAN VILLARREAL
Active
Individual
DR. JIMMY RYAN VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS51187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS51187
LICENSE NUMBER
FL
Enumeration date
09/17/2013
Last updated
09/17/2013
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