WILLARD L BASS

PALATKA, FL
NPI1477878379
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps13424)
Enumeration Date2010-04-02
Last Update Date2010-04-02
Business Address
Mr. WILLARD L BASS rph
111 TOWN AND COUNTRY DR
PALATKA, FL 32177-3962
Phone number: 386-325-7562
Mailing Address
Mr. WILLARD L BASS rph
320 S FERN ST
SAN MATEO, FL 32187-2438
Phone number: 352-478-5577
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