Ivan Jose Grondona Consuegra, PHARMD
NPI #1649755059 in Lake Placid, Florida
Provider Information
- NPI Number
- 1649755059
- Entity Type
- Individual
- Name
- Ivan Jose Grondona Consuegra, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 5 US 27 S
- City
- Lake Placid
- State
- Florida
- ZIP Code
- 33852-7916
- Phone
- (863) 465-4810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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