Individual
MR. DONALD RAY HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
297 N MARION AVE, LAKE CITY, FL 32055-2866
(386) 752-1793
Mailing address
297 N MARION AVE, LAKE CITY, FL 32055-2866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS12647
FL
Other
Enumeration date
07/26/2006
Last updated
08/06/2007
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