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Individual

MR. RONALD W PELHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.CPH.

Contact information

Practice address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1625
(786) 466-1754
Mailing address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1625
(786) 466-1754

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PU3188
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
17657
FL

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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