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JERRY LLOYD NUNN R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1891097903

Individual Registrant:
 JERRY LLOYD NUNN R.PH.
Gender: M
Sole Proprietor

Location and contact information for practice:
906 SOUTH MAIN STREET  LABELLE, FL 33935 US
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

Registration Information:
NPI: 1891097903
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS22703
N1835P0018XPharmacy Service Providers
Pharmacist
FLPU3257

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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