Individual
MS. DIANE RAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13572 NW 9TH RD, NEWBERRY, FL 32669-8016
(352) 505-3155
Mailing address
13572 NW 9TH RD, NEWBERRY, FL 32669-8016
(352) 505-3155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS39446
FL
Other
Enumeration date
08/29/2011
Last updated
04/20/2015
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