Individual
ADREANA MARLENE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14355 W NEWBERRY RD, NEWBERRY, FL 32669-2848
(352) 331-4639
Mailing address
14355 W NEWBERRY RD, NEWBERRY, FL 32669-2848
(352) 331-4639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61818
FL
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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