Individual
BREA SIMONE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
515 W 6TH ST, JACKSONVILLE, FL 32206-4324
(904) 253-1530
Mailing address
515 W 6TH ST, JACKSONVILLE, FL 32206-4324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53609
FL
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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