Individual
CHANLEY MOYE DURRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
Mailing address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS62756
FL
Other
Enumeration date
01/17/2019
Last updated
07/18/2024
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