Individual provider · NPI-1

Paul William Delisser, rph

Pharmacist · Loxahatchee, FL

NPI number1497038053
StatusActive
Last updated in NPPESSep 21, 2011

Details

NPI
1497038053
Entity type
Individual (NPI-1)
Name
Mr. Paul William Delisser
Credential
rph
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2011
Last updated
Sep 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist29913FLYes

Practice location

12001 Southern Blvd
Loxahatchee, FL 33470-4994

Phone 561-784-7407 · Fax 561-753-0517

Mailing address

12001 Southern Blvd
Loxahatchee, FL 33470-4994

Phone 561-784-7407 · Fax 561-753-0517

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