Individual
BRYAN I OTALUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4240 53RD AVE E, BRADENTON, FL 34203-8097
(941) 758-4093
Mailing address
4416 HOLLOW STUMP RUN, PALMETTO, FL 34221-1290
(770) 878-1627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS65013
FL
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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