Individual
DESIRAE NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2163 W C 48, BUSHNELL, FL 33513-8999
(352) 793-1400
Mailing address
5606 CR 577, CENTER HILL, FL 33514-4540
(352) 457-7386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56292
FL
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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