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Individual

CAROLYN W BODDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
Mailing address
6321 AUGUSTA BLVD, SEMINOLE, FL 33777-4723
(727) 392-2913

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS18161
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS18161
PHARMACIST'S LICENSE
FL
Enumeration date
09/12/2006
Last updated
07/08/2007
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