Individual
AUQUILA DATAVERIA LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6006 BEACH BLVD, JACKSONVILLE, FL 32216-2702
(904) 727-6626
(904) 727-9890
Mailing address
3044 POSTMILL DR, ORANGE PARK, FL 32073-7688
(904) 727-6626
(904) 727-9890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34009
FL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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