Individual
DONNA JEAN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10701 NW 41ST ST, DORAL, FL 33178-1867
(305) 477-0184
Mailing address
10701 NW 41ST ST, DORAL, FL 33178-1867
(305) 477-0184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0466240
FL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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