KENNETH WEBSTER FUQUA, RPH;CPH
Pharmacy at Old Polk City Rd, Lakeland, FL

License number
Florida PU00102
Category
Pharmacy
Type
Geriatric
License number
Florida PS11329
Category
Pharmacy
Type
Ambulatory Care
Address
Address
1122 Old Polk City Rd, Lakeland, FL 33809
Phone
(863) 858-2828
National Provider ID: 1174061048
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kenneth Fuqua
1002 Eagle St, Palatka, FL 32177
Kenneth Fuqua, age 85
3613 Ashling Dr, Lakeland, FL 33803
(863) 604-2947
Kenneth Fuqua
6197 Barnes Rd, Crestview, FL 32536
(850) 682-4913
Kenneth Fuqua, age 83
2587 Noble Dr, Tallahassee, FL 32308
Kenneth Fuqua, age 60
13 Round Tree Dr, Palm Coast, FL 32164

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