Provider Demographics
NPI:1417795386
Name:DURAN, CONCEPCION (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:CONCEPCION
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 NW 119TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-2336
Mailing Address - Country:US
Mailing Address - Phone:305-614-7979
Mailing Address - Fax:305-614-1515
Practice Address - Street 1:813 NW 119TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2336
Practice Address - Country:US
Practice Address - Phone:305-614-7979
Practice Address - Fax:305-614-1515
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT5546183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician