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Individual

DAVID ALLEN WOODWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2160 PARK ST, JACKSONVILLE, FL 32204-3812
(904) 389-9744
(904) 389-9406
Mailing address
2160 PARK ST, JACKSONVILLE, FL 32204-3812
(904) 389-9744
(904) 389-9406

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00009504
WA
183500000X
Pharmacist
Primary
PS33297
FL

Other

Enumeration date
03/06/2008
Last updated
03/06/2008
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