Individual
MISS CANEEL BAY MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARM D
Contact information
Practice address
1420 BEVILLE RD, DAYTONA BEACH, FL 32114-5622
(386) 257-5773
Mailing address
1420 BEVILLE RD, DAYTONA BEACH, FL 32114-5622
(386) 257-5773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS64192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS64192
—
FL
Enumeration date
07/06/2022
Last updated
07/06/2022
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