Individual
DAVID L ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
WELAKA PHARMACY, 698 THIRD AVE, WELAKA, FL 32193
(386) 467-9994
Mailing address
205 PORT COMFORT DR, EAST PALATKA, FL 32131-4327
(386) 328-2961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16476
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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