ANNIE C. WIDEMOND C.PH.T. – NPI #1447347992
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.

ANNIE WIDEMOND is a pharmacy technician located in MACCLENNY, FL. NPPES has assigned the NPI number 1447347992 to ANNIE WIDEMOND on October 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183700000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy Technician.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNIE WIDEMOND below.

NPI Profile for
ANNIE C. WIDEMOND

NPI Number
1447347992
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANNIE C. WIDEMOND
Credentials
C.PH.T.
Primary location
1436 STATE ROAD 121 SOUTH
MACCLENNY, FL 32063
Phone: (904) 259-5868 Fax: (904) 259-5275
Mailing address
507 GRISSHOLM ST
P. O. BOX 1192
MACCLENNY, FL 32063-2613
Phone: (904) 259-6785 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183700000X
- Pharmacy Technician (Primary)
FL 2901-0104-0756-923

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.