MARK BERTRAM DODGE

PALM HARBOR, FL
NPI1114368644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps19102)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
Mr. MARK BERTRAM DODGE bs pharm
975 TAMPA RD
PALM HARBOR, FL 34683-5529
Phone number: 727-772-8119
Mailing Address
Mr. MARK BERTRAM DODGE bs pharm
197 MAYFAIR CIR W
PALM HARBOR, FL 34683-5821
Phone number: 727-784-1345
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