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1578146189
DAVID BACON
TAMPA, FL
NPI
1578146189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS51560)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
Dr. DAVID BACON
15499 N DALE MABRY HWY APT 209
TAMPA, FL 33618-1822
Phone number: 912-223-2340
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Mailing Address
Dr. DAVID BACON
15499 N DALE MABRY HWY APT 209
TAMPA, FL 33618-1822
Phone number: 813-264-6803
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