Individual
MARY SUE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 COUNTRY CLUB DR, LYNN HAVEN, FL 32444-5102
(850) 265-2442
Mailing address
2616 COUNTRY CLUB DR, LYNN HAVEN, FL 32444-5102
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10484
FL
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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