NICOLE E WALLIS
Pharmacy at Phillips Rd, Lake Wales, FL

License number
Florida 19790
Issued Date
Dec 18, 2009
Effective Date
Jan 17, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
3848 Phillips Rd, Lake Wales, FL 33898
Phone
(863) 521-9973
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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