Individual
ADRIAN LAERTES GORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2237 W 9 MILE RD, WALGREENS STORE 10181, PENSACOLA, FL 32534
(850) 473-0286
(850) 473-0579
Mailing address
4105 BAMBOO DR, PENSACOLA, FL 32526
(850) 944-7368
(850) 944-7428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202012246
VA
183500000X
Pharmacist
11692
AL
183500000X
Pharmacist
Primary
PS22060
FL
Other
Enumeration date
02/20/2006
Last updated
08/01/2007
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