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Contact Information

JERRY L NUNN, R.PH.
180 E INTERLAKE BLVD
LAKE PLACID, FL33852-9577
 Phone: 863-633-0370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacotherapy

1835P1200X
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JERRY L NUNN · (Male)

NPI # 1891097903
Status Active
Credentials R.PH. (Registered Pharmacist)
Entity Individual
Enumeration date 11/22/2010
Last updated 03/16/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PS22703
  • FL License # PU3257
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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