MAKONNEN K WALLEN
Pharmacy at Msn Wood Cir, Hollywood, FL

License number
Florida 25298
Issued Date
Jan 5, 2010
Effective Date
Dec 30, 2016
Expiration Date
Dec 31, 2018
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
8428 N Missionwood Cir, Hollywood, FL 33025
Phone
(954) 822-3727
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Makonnen K Wallen, age 47
2722 Adams St, Hollywood, FL 33020
Makonnen K Wallen, age 47
8428 Missionwood Cir, Miramar, FL 33025
(954) 443-1748

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