Individual
ALAN ALFRED BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1258 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-3620
(386) 441-3730
Mailing address
1258 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-3620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21142
FL
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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