Individual
MS. CANDACE TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
22449 EDGEWATER DR, PORT CHARLOTTE, FL 33980-2016
(941) 625-4346
(941) 625-1287
Mailing address
3182 LAKE VIEW BLVD, PORT CHARLOTTE, FL 33948-6321
(941) 979-9442
(941) 979-9448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18929
IA
183500000X
Pharmacist
Primary
PS 35728
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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