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Individual

DONALD RAY PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6900 DANIELS PKWY STE 19, FORT MYERS, FL 33912-1586
(239) 768-2210
Mailing address
13609 ADMIRAL CT, FORT MYERS, FL 33912-5628
(239) 561-5730

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS25973
FL

Other

Enumeration date
01/10/2013
Last updated
01/10/2013
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