Individual
DR. ALYSSA NICOLE DUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7307 N MAIN ST, JACKSONVILLE, FL 32208-4123
(904) 765-3531
(904) 765-3533
Mailing address
7707 MERRILL RD UNIT 8664, JACKSONVILLE, FL 32239-7728
(904) 765-3531
(904) 765-3533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0050424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0050424
STATE LICENSE
FL
Enumeration date
03/17/2020
Last updated
03/17/2020
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