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1134775737
EMMANUEL BALNTAS
LUTZ, FL
NPI
1134775737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL Ps43802)
Enumeration Date
2019-08-11
Last Update Date
2019-08-11
Business Address
EMMANUEL BALNTAS
16560 N NEBRASKA AVE
LUTZ, FL 33549-6172
Phone number: 813-264-5590
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Mailing Address
EMMANUEL BALNTAS
16560 N NEBRASKA AVE
LUTZ, FL 33549-6172
Phone number: 813-264-5590
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