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Douglas Patrick Slentz

Pharmacist in Melbourne, FL. Individual provider (NPI-1).

NPI number1013034883
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1013034883
Entity type
Individual (NPI-1)
Name
Mr. Douglas Patrick Slentz
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS21094FLYes

Practice location

1000 N Wickham Rd
Melbourne, FL 32935-8937

Phone 321-242-6037 · Fax 321-242-5934

Mailing address

714 Pineda Ave Ne
Palm Bay, FL 32907-1578

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