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Organization

PHARMCLINIC

Active
Other names
Wellness and Weight Loss of Fort Walton
Organization subpart
No

Provider details

NPI number
Authorized official
HAL DENSMAN PHARM D. (PHARMACIST/OWNER)
(850) 683-1111
Entity
Organization

Contact information

Practice address
1013 MAR WALT DR STE B, FT WALTON BCH, FL 32547-6789
(850) 863-2222
(850) 863-2223
Mailing address
1116 N FERDON BLVD, CRESTVIEW, FL 32536-1710
(850) 683-1111
(850) 683-1753

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
03/12/2012
Last updated
03/12/2012
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