Individual
BENJAMIN JOEL DOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12072 ARBOR LAKE DR, JACKSONVILLE, FL 32225-3681
(904) 608-8928
Mailing address
12072 ARBOR LAKE DR, JACKSONVILLE, FL 32225-3681
(904) 608-8928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52929
FL
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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