Provider Demographics
NPI:1114151453
Name:GUENTHER, ADRIENNE MARIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:MARIA
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:ADRIENNE
Other - Middle Name:MARIA
Other - Last Name:CHIRILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:BLDG. H 2005 KNIGHT LANE
Mailing Address - Street 2:NAVY MEDICINE SUPPORT COMM ATTN: MEDICAL STAFF SERVICES
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32212-0140
Mailing Address - Country:US
Mailing Address - Phone:904-542-7200
Mailing Address - Fax:
Practice Address - Street 1:BLDG H 2005 KNIGHT LANE
Practice Address - Street 2:ATTN;MEDICAL STAFF SERVICES ,NAVY MEDICINE SUPPORT COMM
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32212-0140
Practice Address - Country:US
Practice Address - Phone:904-542-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013747A183500000X
IL051.292786183500000X
NC20206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist