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CATHERINE OLIVIA KEENE PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1063057594

Individual Registrant:
 CATHERINE OLIVIA KEENE PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
24220 W NEWBERRY RD  NEWBERRY, FL 32669-2211 US
Tel: 352-472-9001  Fax: 352-472-8776

Contact information for business:
26815 NW 98TH ST  ALACHUA, FL 32615-3359 US
Tel: 352-339-1648  Fax: --

Registration Information:
NPI: 1063057594
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS49062

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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