Provider Demographics
NPI:1174806384
Name:ANDREWS, DONNA-MARIE ELIZABETH (RPH)
Entity type:Individual
Prefix:MRS
First Name:DONNA-MARIE
Middle Name:ELIZABETH
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 NW 171ST AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2042
Mailing Address - Country:US
Mailing Address - Phone:954-629-1337
Mailing Address - Fax:954-266-3485
Practice Address - Street 1:15915 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1201
Practice Address - Country:US
Practice Address - Phone:954-266-3488
Practice Address - Fax:954-266-3485
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist