Individual
MRS. ALICE WHITSON REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
860 A1A N, PONTE VEDRA, FL 32082-3212
(904) 543-0762
(904) 280-9852
Mailing address
286 HOLLAND DR, SAINT AUGUSTINE, FL 32095-8425
(904) 826-4180
(904) 280-9852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10533
SC
183500000X
Pharmacist
14283
LA
183500000X
Pharmacist
Primary
32432
FL
Other
Enumeration date
08/29/2011
Last updated
08/31/2011
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