Tank, Patrick

Tank, Patrick is an sole proprietor health care provider with primary practice located at 1478 W Granada Blvd , Ormond Beach FL 32174-9165. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tank, Patrick can be contacted via phone (386) 677-4215.

Contact Information

Primary practice address
1478 W Granada Blvd Ormond Beach FL 32174-9165
Phone: (386) 677-4215
Fax: (386) 673-8509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS27818 Florida

Profile Details

NPI number 1588833891
LBN Legal business name Tank, Patrick
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2008
Last updated Feb 21st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588833891 NPPES
Florida Other PS27818 STATE LICENSE NUMBER

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