Individual
MR. DONALD JOHN DZEJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3340 CANOE CREEK RD, SAINT CLOUD, FL 34772-6536
(407) 498-0356
Mailing address
3340 CANOE CREEK RD, SAINT CLOUD, FL 34772-6536
(407) 498-0356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS18294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS18294
PHARMACY LICENSE
FL
Enumeration date
09/26/2011
Last updated
09/26/2011
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