Individual
DR. CARRIE A POULSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2232 GRAND AVE, FORT MYERS, FL 33901-3717
(239) 344-2321
Mailing address
2232 GRAND AVE, FORT MYERS, FL 33901-3717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS39010
FL
Other
Enumeration date
10/23/2006
Last updated
01/20/2010
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