Individual
ANI CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-1700
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53337
FL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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