Individual
COURTNEY J KIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3724 N OCEAN BLVD, FORT LAUDERDALE, FL 33308-6451
(954) 396-3129
Mailing address
2004 CHAMPIONS WAY, NORTH LAUDERDALE, FL 33068-5464
(469) 595-6601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59941
FL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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