MICHAEL J FASANO
Pharmacy at Ensenada Way, Boca Raton, FL

License number
Florida 20781
Issued Date
Dec 22, 2009
Effective Date
Jan 17, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
22455 Ensenada Way, Boca Raton, FL 33433
Phone
(561) 445-7437
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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