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Individual

ALAN EDWARD WINGERTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH

Contact information

Practice address
6400 CRILL AVE, PALATKA, FL 32177-3876
(386) 325-5505
Mailing address
6400 CRILL AVE, PALATKA, FL 32177-3876
(386) 325-5505

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS14151
FL

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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