Diane Marie Abel, PHARMD

Individual provider Active NPI Pharmacist · Eglin Afb, FL

NPI 1275709552 · NPPES record last updated May 7, 2018

Key facts

NPI
1275709552
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS25660 (FL)
Practice address
307 Boatner Rd
Eglin Main Pharmacy
Eglin Afb, FL 32542-1391
Phone
(850) 883-9011
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS25660FLMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS25660 FL Yes

Addresses

Primary practice location

307 Boatner Rd
Eglin Main Pharmacy
Eglin Afb, FL 32542-1391

Mailing address

307 Boatner Rd
Eglin Main Pharmacy
Eglin Afb, FL 32542-1391
Phone (850) 883-9011

Other providers in Eglin Afb, FL

All providers in Eglin Afb, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.