Individual
CHARAE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1096 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2201
(850) 678-1257
Mailing address
1096 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2201
(850) 678-1257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60975
FL
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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