Individual
DR. COURTNEY NICHELLE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6107 NEW PARIS WAY, ELLENTON, FL 34222-7262
(941) 725-0147
Mailing address
6107 NEW PARIS WAY, ELLENTON, FL 34222-7262
(941) 725-0147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS48088
FL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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