Provider Demographics
NPI:1124385851
Name:BRYANT, DARCY MARIE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:DARCY
Middle Name:MARIE
Last Name:BRYANT
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 1:2152 NW 165TH ST
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-2931
Mailing Address - Country:US
Mailing Address - Phone:352-216-9288
Mailing Address - Fax:
Practice Address - Street 1:2461 E GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3232
Practice Address - Country:US
Practice Address - Phone:352-637-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL37790183500000X
MA25440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist