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Individual

DR. CARL MUCKERHEIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1445 E VENICE AVE, VENICE, FL 34292-3064
(941) 480-1889
Mailing address
909 ALBEE RD W, APT 5, NOKOMIS, FL 34275-2539
(401) 662-7933

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS51144
FL

Other

Enumeration date
09/17/2013
Last updated
09/17/2013
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