Organization
45 MDSS PATRICK AFB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA S PABON (PHARMACIST)
(321) 494-8991
Entity
Organization
Contact information
Practice address
1381 S. PATRICK DR., 45 MDSS, PATRICK AFB, FL 32925-3405
(321) 494-8991
Mailing address
1381 S. PATRICK DR, PATRICK AFB, FL 32925-4258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
BW6120656
FL
Other
Enumeration date
11/05/2008
Last updated
09/12/2011
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