Balidawa-Davis, Jacqueline

Balidawa-Davis, Jacqueline is an individual health care provider with primary practice located at 2001 W Granada Blvd , Ormond Beach FL 32174-2532. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Balidawa-Davis, Jacqueline can be contacted via phone (386) 676-7377.

Contact Information

Primary practice address
2001 W Granada Blvd Ormond Beach FL 32174-2532
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS36297 Florida

Profile Details

NPI number 1184904716
LBN Legal business name Balidawa-Davis, Jacqueline
Credentials RPH., PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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