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1558462150
EDMUND HENRY
LAKE CITY, FL
NPI
1558462150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL 11597)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. EDMUND HENRY Rpn
619 SOUTH MARION STREET
LAKE CITY, FL 32025
Phone number: 386-755-3016
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Mailing Address
Mr. EDMUND HENRY Rpn
PO BOX 485
LAKE CITY, FL 32056-0485
Phone number: 386-752-7490
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