Individual
PATRICK HALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7431 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8712
(904) 722-2151
Mailing address
7431 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8712
(904) 487-4035
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT21311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RPT21311
—
FL
Enumeration date
02/07/2021
Last updated
02/07/2021
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