Ansel Avila

Pharmacist

Ponte Vedra Beach, United States

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Full name

Ansel Avila

Job Title

Pharmacist

Location

Ponte Vedra

LIC ID

57171

Current License Expiration Date

30/09/2025

Original Date

06/08/2020

Professional Rank Code

Effective Date

06/08/2020

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

ST.JOHNS

Practice Location Address Line 1

8917 San Jose Blvd

Practice Location Address City

JACKSONVILLE

Practice Location Address State

Practice Location Address Zipcode

32257

Mode Code

Certified To Administer Immunizations, Test and Treat Certification

Prescribing Indicator

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Ansel Avila

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