Individual
JERRY VOLTAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3915 W COMMERCIAL BLVD, TAMARAC, FL 33309-3317
(954) 733-2552
Mailing address
3915 W COMMERCIAL BLVD, TAMARAC, FL 33309-3317
(954) 733-2552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PSI39991
FL
3336C0003X
Community/Retail Pharmacy
Primary
PS64261
FL
Other
Enumeration date
06/27/2020
Last updated
07/25/2022
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