Provider Demographics
NPI:1932326113
Name:JOLLY, DONNA LINETTE (PHARM D, C PH, BCPS)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LINETTE
Last Name:JOLLY
Suffix:
Gender:F
Credentials:PHARM D, C PH, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 ISLAND CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1936
Mailing Address - Country:US
Mailing Address - Phone:941-312-9304
Mailing Address - Fax:941-929-2380
Practice Address - Street 1:5955 RAND BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5160
Practice Address - Country:US
Practice Address - Phone:941-929-2387
Practice Address - Fax:941-929-2380
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27151183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy