Individual
EDDA MARIE JIMENEZ QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7814 N DALE MABRY HWY, TAMPA, FL 33614-3220
(813) 397-5300
(813) 405-3942
Mailing address
A84 URB SAN MIGUEL, SANTA ISABEL, PR 00757-2513
(787) 358-7097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6263
PR
183500000X
Pharmacist
PS54793
FL
1835G0303X
Geriatric Pharmacist
Primary
6263
PR
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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