Individual
BRENDIA THOMAS TOLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
655 W 8TH ST, SHANDS JACKSONVILLE DEPT. OF PHARMACY, JACKSONVILLE, FL 32209-6511
(904) 244-4157
(904) 244-4272
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4157
(904) 244-4272
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS35331
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS35331
FL
Other
Enumeration date
06/22/2012
Last updated
07/01/2021
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