Individual
ANTO STANIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
6820 GULFPORT BLVD S, SOUTH PASADENA, FL 33707-2108
(727) 345-9103
Mailing address
6820 GULFPORT BLVD S, SOUTH PASADENA, FL 33707-2108
(727) 345-9103
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS60814
FL
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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