Individual
CHRISTINE MARY EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 51ST STREET GULF, MARATHON, FL 33050-2611
(305) 942-9555
Mailing address
295 51ST STREET GULF, MARATHON, FL 33050-2611
(305) 942-9555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS26864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302022865
PHARMACY LICENSE
MI
01
—
PS26864
PHARMACY LICENSE
FL
Enumeration date
07/14/2013
Last updated
02/05/2014
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