Individual
CARL CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3653 S ORLANDO DR, SANFORD, FL 32773-5611
(407) 321-7610
Mailing address
198 EASTSIDE LN, OSTEEN, FL 32764-9428
(386) 717-5426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26691
FL
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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