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1154984672
CARMEN WISE
BROOKSVILLE, FL
NPI
1154984672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS38253)
Enumeration Date
2019-04-19
Last Update Date
2019-06-11
Business Address
CARMEN WISE
11373 CORTEZ BLVD STE 101
BROOKSVILLE, FL 34613-5411
Phone number: 352-600-7838
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Mailing Address
CARMEN WISE
11373 CORTEZ BLVD STE 101
BROOKSVILLE, FL 34613-5411
Phone number: 352-600-7838
Copy
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