Adrian Laertes Goram PHARM D

NPI 1891760377 - Pharmacist - 183500000X

NPI Details
NPI 1891760377
Gender Male
Enumeration Date 02/20/2006
Last Updated 08/01/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2237 W 9 MILE RD
WALGREENS STORE 10181
PENSACOLA FL, 32534, US
Phone (850) 473-0286
Fax (850) 473-0579
Business Location
4105 BAMBOO DR
PENSACOLA FL, 32526, US
Phone (850) 944-7368
Fax (850) 944-7428
Toxanomy
Taxonomy Code 183500000X
License State Alabama
License Number 11692
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According to our database, Adrian Laertes Goram PHARM D NPI is 1891760377, taxonomy code is 183500000X and license number is 11692, license state is located at Alabama. Adrian Laertes Goram PHARM D physically located at 2237 W 9 Mile Rd, Pensacola FL, 32534. NPI Number Adrian Laertes Goram PHARM D has the Individual type.

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1891760377 NPI number is provided on an as is basis without warranty of any kind. 1891760377 is maintained by the National Plan & Provider Enumeration System. The contents of Adrian Laertes Goram PHARM D are for informational purposes only.