NPI 1376642439

Andrea Ellen Bergoich, CPHT

Practitioner Pharmacy Technician Jacksonville, FL

Practice location

Address: 12402 Safeshelter Dr S, Jacksonville, FL 32225-1783
Phone: (904) 535-3480

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 250101030358003 (FL)

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Registry record

NPI: 1376642439
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.