Doctor Name: | ANNMARIE BRYAN |
NPI Number: | 1588931802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPT, RPT |
License Number: | RPT 12174 |
Business Practice Address: | 466 Sw Dauphin Ave Port Saint Lucie, FL - 349535852 |
Business Phone Number: | 7723360624 |
Business Fax Number: | |
Mailing Address: | 466 Sw Dauphin Ave, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349535852 |
Phone Number: | 7723360624 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | RPT 12174 |
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. |