Individual
CURTIS PEDEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3854 NW ARCHER ST APT 102, LAKE CITY, FL 32055-4813
(386) 466-2362
Mailing address
3854 NW ARCHER ST APT 102, LAKE CITY, FL 32055-4813
(386) 466-2362
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT49285
FL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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