Individual
MRS. BONNIE CARLA DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHPHT
Contact information
Practice address
14134 US HIGHWAY 19, HUDSON, FL 34667-1167
(727) 869-3114
(727) 861-2412
Mailing address
2223 HAWTHORNE RD, SPRING HILL, FL 34609-5449
(352) 688-9226
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3901-0107-0258-142
FL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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