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Individual

DR. ALEJANDRO VAZQUEZ III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5000 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4909
(941) 782-5641
Mailing address
5000 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4909
(941) 782-5641

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS45012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS45012
DEPARTMENT OF HEALTH
FL
Enumeration date
01/26/2015
Last updated
01/26/2015
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