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1386233476
BERNARD MBALLESUBE
PALM COAST, FL
NPI
1386233476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: FL PS40873)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
-- BERNARD MBALLESUBE Pharm.D
5151 BELLE TERRE PKWY
PALM COAST, FL 32137-8689
Phone number: 386-446-9449
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Mailing Address
-- BERNARD MBALLESUBE Pharm.D
5151 BELLE TERRE PKWY
PALM COAST, FL 32137-8689
Phone number: 386-446-9449
Copy
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