Provider Demographics
NPI:1316239585
Name:RHYNE, MARLENE BURE (CPH)
Entity type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:BURE
Last Name:RHYNE
Suffix:
Gender:F
Credentials:CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 TRADEWINDS TRL
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2745
Mailing Address - Country:US
Mailing Address - Phone:727-447-2425
Mailing Address - Fax:727-545-6472
Practice Address - Street 1:9999 NE 2ND AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2352
Practice Address - Country:US
Practice Address - Phone:305-751-7798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist