IndividualActive
Annie Widemond, C.PH.T.
NPI 1447347992 · Pharmacy Technician · Macclenny, FL
Provider details
- NPI number
- 1447347992
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- C.PH.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2901-0104-0756-923 (FL)
Practice location
1436 State Road 121 South
Macclenny, FL 32063
Phone: (904) 259-5868
Fax: (904) 259-5275
Mailing address
507 Grissholm St
Macclenny, FL 32063-2613
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.