THEODORE ROOSEVELT HOUSTON

TALLAHASSEE, FL
NPI1174509913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  12648)
Enumeration Date2005-12-22
Last Update Date2007-07-08
Business Address
Mr. THEODORE ROOSEVELT HOUSTON
855 W TENNESSEE ST THAGARD HEALTH CENTER, FLORIDA STATE UNIVERSITY
TALLAHASSEE, FL 32304-7834
Phone number: 850-644-1015
Mailing Address
Mr. THEODORE ROOSEVELT HOUSTON
2404 MEXIA AVE
TALLAHASSEE, FL 32304-1321
Phone number: 850-576-4929
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