Provider Demographics
NPI:1316013196
Name:BEST, CONNIE N (RPH,PD)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:N
Last Name:BEST
Suffix:
Gender:F
Credentials:RPH,PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 TALL OAK DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-2932
Mailing Address - Country:US
Mailing Address - Phone:850-937-1603
Mailing Address - Fax:
Practice Address - Street 1:4320 LILLIAN HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-4217
Practice Address - Country:US
Practice Address - Phone:850-453-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0018822183500000X
AL9889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist