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1124419395
COLLEEN MELLACE
FORT MYERS, FL
NPI
1124419395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL Ps52610)
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
-- COLLEEN MELLACE
6900 DANIELS PKWY STE 19
FORT MYERS, FL 33912-1586
Phone number: 239-768-2210
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Mailing Address
-- COLLEEN MELLACE
6900 DANIELS PKWY STE 19
FORT MYERS, FL 33912-1586
Phone number: 239-768-2210
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