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1154604940
LARRY JAY BRENDLE
MELBOURNE, FL
NPI
1154604940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS22779)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
-- LARRY JAY BRENDLE R.Ph.
4489 CHASTAIN DR
MELBOURNE, FL 32940-1269
Phone number: 321-773-4496
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Mailing Address
-- LARRY JAY BRENDLE R.Ph.
4489 CHASTAIN DR
MELBOURNE, FL 32940-1269
Phone number: 321-773-4496
Copy
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