MR. John Nicholas Fedorovich, R.PH.

NPI #1730469297 in Holly Hill, Florida

Provider Information

NPI Number: 1730469297
Entity Type: Individual
Name: MR. John Nicholas Fedorovich, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 27, 2011
Last Updated: Aug 27, 2011

Practice Location

Address: 1829 RIDGEWOOD AVE
City: Holly Hill
State: Florida
ZIP Code: 32117-1737
Phone: (386) 672-6388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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