Individual
BENJAMIN STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0404
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS36629
FL
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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