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Dr. Kawelo Chua Demdam, PHARMD
Pharmacist in Jacksonville, Florida
NPI 1679177711

Kawelo Chua Demdam is a Pharmacist based in Jacksonville, FL. Kawelo Chua Demdam practices in Jacksonville, FL and has the professional credentials of PHARMD. The NPI Number for Kawelo Chua Demdam is 1679177711 and holds a License No. PS52170 (Florida).

The current practice location address for Kawelo Chua Demdam is 7159 Corklan Dr, Jacksonville, FL and can be reached out via phone at 199-062-4089.

Location: 7159 Corklan Dr, Jacksonville, FL, 32258-4548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679177711
Provider Name
Kawelo Chua Demdam
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
7159 Corklan Dr, Jacksonville, FL, 32258-4548
Phone Number
199-062-4089
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PS52170 01 FL PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
7159 Corklan Dr
City
Jacksonville
State
Florida
Zip
32258-4548
Phone Number
199-062-4089
Fax Number
person
Provider Business Mailing Address Details
Address
7159 Corklan Dr
City
Jacksonville
State
Florida
Zip
32258-4548
Phone Number
199-062-4089
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PS52170 (Florida)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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