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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