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Individual

DR. FALLON NICOLE ENFINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
700 SIXTH STREET SOUTH, ST. PETERSBURG, FL 33701-4891
(727) 893-6352
(727) 553-7340
Mailing address
5000 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4909
(941) 782-5946
(941) 782-5724

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS43602
FL

Other

Enumeration date
10/05/2010
Last updated
10/05/2010
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