BRYAN I OTALUKA

BRADENTON, FL
NPI1568188993
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS65013)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
BRYAN I OTALUKA
4240 53RD AVE E
BRADENTON, FL 34203-8097
Phone number: 941-758-4093
Mailing Address
BRYAN I OTALUKA
4416 HOLLOW STUMP RUN
PALMETTO, FL 34221-1290
Phone number: 770-878-1627
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