DR. Genesis Carrillo

NPI #1104431964 in Bradenton, Florida

Provider Information

NPI Number: 1104431964
Entity Type: Individual
Name: DR. Genesis Carrillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 9, 2020
Last Updated: Sep 10, 2020

Practice Location

Address: 4210 E, FL-64
City: Bradenton
State: Florida
ZIP Code: 34208
Phone: (941) 708-9161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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