Provider Demographics
NPI:1932821717
Name:FRASER, CLAIRE ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:FRASER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 LIMESTONE LN
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4368
Mailing Address - Country:US
Mailing Address - Phone:850-890-6809
Mailing Address - Fax:
Practice Address - Street 1:15555 STARFISH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-2457
Practice Address - Country:US
Practice Address - Phone:850-236-3721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist