Individual provider · Type 1 NPI

Annie Clara Widemond, C.PH.T.

Pharmacy Technician · Macclenny, FL

NPI number 1447347992 Active

Practice location

1436 State Road 121 South
Macclenny, FL 32063

Fax (904) 259-5275

Mailing address

507 Grissholm St, P. O. Box 1192
Macclenny, FL 32063-2613

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X2901-0104-0756-923 (FL)

Pharmacy Technician: 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.

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About NPI 1447347992

Annie Clara Widemond, C.PH.T.'s National Provider Identifier is 1447347992, issued on Oct 6, 2006. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Macclenny, FL. The record was last updated on Jul 8, 2007.