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1124518659
EBENEZER ADU
LAKE CITY, FL
NPI
1124518659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS44378)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
EBENEZER ADU Pharmacist
2233 W US HIGHWAY 90
LAKE CITY, FL 32055-4761
Phone number: 352-235-5310
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Mailing Address
EBENEZER ADU Pharmacist
2233 W US HIGHWAY 90
LAKE CITY, FL 32055-4761
Phone number: 352-235-5310
Copy
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