Individual
MRS. CAROL DIANE LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6724 PASADENA DR, TALLAHASSEE, FL 32317-8487
(850) 877-9985
Mailing address
6724 PASADENA DR, TALLAHASSEE, FL 32317-8487
(850) 877-9985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS14059
FL
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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