Individual
MR. ALFRED J. SIRUTIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
810 SAXON BLVD, ATTN: PHARMACY, ORANGE CITY, FL 32763-8203
(386) 774-1133
(386) 774-0995
Mailing address
810 SAXON BLVD, ATTN: PHARMACY, ORANGE CITY, FL 32763-8203
(386) 774-1133
(386) 774-0995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS31363
FL
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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