Individual
MISS ANDREA ELLEN BERGOICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PH.T
Contact information
Practice address
12402 SAFESHELTER DR S, JACKSONVILLE, FL 32225-1783
(904) 535-3480
Mailing address
12402 SAFESHELTER DR S, JACKSONVILLE, FL 32225-1783
(904) 535-3480
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
250101030358003
FL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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