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DR. MELISSA DIONNE DANIELS PHARMD, CPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1720453970

Individual Registrant:
DR. MELISSA DIONNE DANIELS PHARMD, CPH
Gender: F
Sole Proprietor

Location and contact information for practice:
1100 11TH ST SW  LIVE OAK, FL 32064-3608 US
Tel: 386-362-0845  Fax: --

Contact information for business:
7924 US HIGHWAY 129 S  JASPER, FL 32052-3945 US
Tel: 386-697-3060  Fax: --

Registration Information:
NPI: 1720453970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS50619

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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