PRAETORIAN RX LLC

TAMPA, FL
NPI1699040055
Entity TypeOrganization
Authorized ContactKENNETH DEWAYNE LANIER
President
813-929-0778
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2012-03-19
Last Update Date2012-03-19
Business Address
PRAETORIAN RX LLC
20429 AUTUMN FERN AVE
TAMPA, FL 33647-2967
Phone number: 186-623-2877
Mailing Address
PRAETORIAN RX LLC
20429 AUTUMN FERN AVE
TAMPA, FL 33647-2967
Phone number: 186-623-2877
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