FANNY PURNOMO
Pharmacy at 12 St, Miami, FL

License number
Florida 57879
Issued Date
Jan 16, 2015
Effective Date
Jan 4, 2017
Expiration Date
Dec 31, 2016
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
110 SW 12Th St UNIT 704, Miami, FL 33130
Phone
(305) 746-0622
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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