Provider Demographics
NPI:1427215524
Name:PONDER, VALERIE SELENA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:SELENA
Last Name:PONDER
Suffix:
Gender:F
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 1:2400 E SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5805
Mailing Address - Country:US
Mailing Address - Phone:407-889-9788
Mailing Address - Fax:407-889-9007
Practice Address - Street 1:2400 E SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5805
Practice Address - Country:US
Practice Address - Phone:407-889-9788
Practice Address - Fax:407-889-9007
Is Sole Proprietor?:No
Enumeration Date:2008-05-18
Last Update Date:2008-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist