Provider Demographics
NPI:1962952994
Name:ECHOLS, DONYAILA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:DONYAILA
Middle Name:MARIE
Last Name:ECHOLS
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 1:1219 SENECA FALLS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6609
Mailing Address - Country:US
Mailing Address - Phone:023-236-5176
Mailing Address - Fax:
Practice Address - Street 1:8517 SOUTHPARK CIR STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9033
Practice Address - Country:US
Practice Address - Phone:023-236-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist