CODY M IBASFALEAN
Pharmacy at 75 St, Bradenton, FL

License number
Florida 14886
Issued Date
Dec 1, 2009
Effective Date
Jan 17, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address 2
3982 75Th St W APT 312, Bradenton, FL 34209
1504 53Rd Ave E, Oneco, FL 34209
Phone
(941) 720-0931
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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