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JERRY LLOYD NUNN R.PH.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1891097903
Individual Registrant: JERRY LLOYD NUNN R.PH.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
906 SOUTH MAIN STREET LABELLE, FL 33935 US
Tel: 863-675-3088 Fax: --
Tel: 863-675-3088 Fax: --
Contact information for business:
17380 CORKSCREW RD ESTERO, FL 33928-9417 US
Tel: 239-910-7125 Fax: 239-498-5419
Tel: 239-910-7125 Fax: 239-498-5419
Registration Information:
NPI: 1891097903
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS22703 |
| N | 1835P0018X | Pharmacy Service Providers Pharmacist | FL | PU3257 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
