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Individual

BALARAMA RICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3970 SW ARCHER RD, GAINESVILLE, FL 32608-2342
(352) 377-0939
(352) 519-3213
Mailing address
3970 SW ARCHER RD, GAINESVILLE, FL 32608-2342
(352) 377-0939
(352) 519-3213

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55148
FL

Other

Enumeration date
11/18/2020
Last updated
11/18/2020
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