| Doctor Name: | MRS. CHRISTINE MARIE CONNELL |
| NPI Number: | 1144530080 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPHT |
| License Number: | RPT 430 |
| Business Practice Address: | 440 W Gulf Atlantic Hwy Wildwood, FL - 347857301 |
| Business Phone Number: | 3523304124 |
| Business Fax Number: | |
| Mailing Address: | 10367 E Roo Ln, Po Box 651 FLORAL CITY |
| State: | FL |
| Postal Code: | 344362957 |
| Phone Number: | 3527270382 |
| Fax Number: | 3523300673 |
| NPI Enumeration Date: | 10/13/2010 |
| NPI Last Update Date: | 10/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | RPT 430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |