Individual
BAO THAT TON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
21644 STATE ROAD 7, BOCA RATON, FL 33428-1899
(561) 488-8121
Mailing address
6432 PARK LAKE CIR, BOYNTON BEACH, FL 33437-3228
(954) 258-9973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58668
FL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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