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1417189291
DOUGLAS FASNACHT
LUTZ, FL
NPI
1417189291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL 39620)
Enumeration Date
2009-08-13
Last Update Date
2010-11-17
Business Address
-- DOUGLAS FASNACHT PharmD
22920 STATE ROAD 54
LUTZ, FL 33549-6931
Phone number: 813-949-7872
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Mailing Address
-- DOUGLAS FASNACHT PharmD
22920 STATE ROAD 54
LUTZ, FL 33549-6931
Phone number: 813-949-7872
Copy
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