Individual
ANNALISE LOAN DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 US HIGHWAY 19, HOLIDAY, FL 34691-3943
(727) 937-3245
Mailing address
2480 US HIGHWAY 19, HOLIDAY, FL 34691-3943
(727) 937-3245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61969
FL
Other
Enumeration date
05/18/2021
Last updated
01/13/2023
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