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DANIEL CORDOVA R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1912280009

Individual Registrant:
 DANIEL  CORDOVA R.PH.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
202 S FEDERAL HWY  DANIA BEACH, FL 33004-4005 US
Tel: 954-920-0477  Fax: --

Contact information for business:
PO BOX 222306  HOLLYWOOD, FL 33022-2306 US
Tel: 954-699-8548  Fax: --

Registration Information:
NPI: 1912280009
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS32057

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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