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Individual

MRS. BIBI SHAMIZA BACCHUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 E OCEAN AVE, LANTANA, FL 33462-3205
(561) 540-4423
Mailing address
6352 WILLOUGHBY CIR, LAKE WORTH, FL 33463-9307
(561) 439-9846

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS35429
FL

Other

Enumeration date
09/25/2011
Last updated
09/25/2011
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