Individual
ALTON GRAYDON CUMBERBATCH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
646 S. DILLARD STREET, WINTER GARDEN, FL 34787
(407) 761-6286
Mailing address
2206 BLOSSOMWOOD DRIVE, OVIEDO, FL 32765
(407) 761-6286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21620
FL
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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