Individual
DONNY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
815 BEVILLE RD STE D, SOUTH DAYTONA, FL 32119-1859
(386) 322-5969
Mailing address
1407 ROYAL GROVE LN, PORT ORANGE, FL 32129-8999
(386) 322-5969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS25852
FL
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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