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1922388479
PHOENIX CONSTANT
KISSIMMEE, FL
NPI
1922388479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS45520)
Enumeration Date
2011-08-27
Last Update Date
2011-08-27
Business Address
PHOENIX CONSTANT PHARM.D.
4030 W VINE ST
KISSIMMEE, FL 34741-4631
Phone number: 407-935-0748
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Mailing Address
PHOENIX CONSTANT PHARM.D.
PO BOX 137455
CLERMONT, FL 34713-7455
Phone number: 863-424-5041
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