Individual
PRISCILLA YVONNE NEWBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Mailing address
1038 EPPING FOREST DR, TALLAHASSEE, FL 32317-8641
(850) 878-0191
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
017818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017818
STATE LICENSE
FL
Enumeration date
07/25/2006
Last updated
07/08/2007
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