Individual
ANTHONY JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 SW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-1766
(772) 446-8743
(772) 446-8739
Mailing address
902 SW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-1766
(772) 446-8743
(772) 446-8739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46764
FL
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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