Ani Childress
Pharmacist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1174994792
StatusActive
Last updated in NPPESOct 8, 2015
Details
- NPI
- 1174994792
- Entity type
- Individual (NPI-1)
- Name
- Ani Childress
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2015
- Last updated
- Oct 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS53337 | FL | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-956-1700
Mailing address
4500 San Pablo Rd SJacksonville, FL 32224-1865
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