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Individual

DR. DWAYNE L SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
4034 GEORGIA AVE NW, WASHINGTON, DC 20011-5857
(773) 875-4993
Mailing address
909 NEW JERSEY AVE SE APT 712, WASHINGTON, DC 20003-5309
(773) 875-4993

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100001078
DC
183500000X
Pharmacist
PS49846
FL

Other

Enumeration date
09/10/2013
Last updated
09/10/2013
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