Provider Demographics
NPI:1407194616
Name:BIEN-AIME, JOCELYN (PHARM D)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:BIEN-AIME
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BELLE TERRE PKWY
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-2314
Mailing Address - Country:US
Mailing Address - Phone:386-437-2825
Mailing Address - Fax:386-437-3059
Practice Address - Street 1:800 BELLE TERRE PKWY
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2314
Practice Address - Country:US
Practice Address - Phone:386-437-2825
Practice Address - Fax:386-437-3059
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist