Individual
CARL ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 SE BAYA DR, LAKE CITY, FL 32025-5403
(386) 755-6677
Mailing address
3707 SW SALEM RD, LAKE CITY, FL 32024-1984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS15564
FL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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