Individual
MRS. CHRISTINE MARIE CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
440 W GULF ATLANTIC HWY, WILDWOOD, FL 34785-7301
(352) 330-4124
Mailing address
10367 E ROO LN, PO BOX 651, FLORAL CITY, FL 34436-2957
(352) 727-0382
(352) 330-0673
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPT 430
STATE LICENSE
FL
Enumeration date
10/13/2010
Last updated
10/13/2010
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