MRS. ANNIE CLARA WIDEMOND C.PH.T. NPI 1447347992

NPI Information

NPI: 1447347992
Provider Name: MRS. ANNIE CLARA WIDEMOND, C.PH.T.
Classification: Pharmacy Technician - 183700000X
Entity Type: Individual
Address:
1436 STATE ROAD 121 SOUTH
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-5868
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MRS. Annie Clara Widemond, C.PH.T. is a pharmacy technician in Macclenny, FL. The provider is 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. MRS. Annie Clara Widemond, C.PH.T. NPI is 1447347992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1436 STATE ROAD 121 SOUTH
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-5868
Fax: (904) 259-5275

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183700000X	Pharmacy Technician		2901-0104-0756-923	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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