PHOUT PHOMMAVANH
Pharmacy at Kingston St, Saint Petersburg, FL

License number
Florida 37735
Issued Date
May 16, 2011
Effective Date
Jan 17, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
3513 Kingston St N, Saint Petersburg, FL 33713
Phone
(443) 254-8288
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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