Individual
CONNIE ELIZABETH HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 HIGHWAY 71, MARIANNA, FL 32448-2541
(850) 526-5766
Mailing address
2255 HIGHWAY 71, MARIANNA, FL 32448-2541
(850) 526-5766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS31980
FL
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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