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MR. BRUCE STANLEY BLACK R PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1871831875

Individual Registrant:
MR. BRUCE STANLEY BLACK R PH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
402 E DANIA BEACH BLVD  DANIA BEACH, FL 33004-3040 US
Tel: 954-920-7660  Fax: 954-920-7660

Contact information for business:
402 E DANIA BEACH BLVD  DANIA BEACH, FL 33004-3040 US
Tel: 954-920-7660  Fax: 954-920-7660

Registration Information:
NPI: 1871831875
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS13435

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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