Organization
PUBLIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON MANLULU MEGANO PHARMD (PHARMACIST)
(561) 866-7248
Entity
Organization
Contact information
Practice address
27615 US HIGHWAY 27, LEESBURG, FL 34748-9396
(352) 787-2122
Mailing address
8657 VISTA DEL BOCA DR, BOCA RATON, FL 33433-2528
(561) 866-7248
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PS52607
FL
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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