Organization
CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTIS WILBUR KIRKSEY PHARMD, BC-ADM, CDE (CHIEF OPERATING OFFICER)
(850) 284-6873
Entity
Organization
Contact information
Practice address
1381 CROSS CREEK CIR, TALLAHASSEE, FL 32301-3729
(850) 877-6393
Mailing address
PO BOX 7011, TALLAHASSEE, FL 32314-7011
(850) 284-6873
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS20980
FL
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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