Healthcare Provider Details

I. General information

NPI: 1790018679
Provider Name (Legal Business Name): DARREN QUARRIE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 03/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 RAYMOND ST
ORLANDO FL
32803-8208
US

IV. Provider business mailing address

5201 RAYMOND ST
ORLANDO FL
32803-8208
US

V. Phone/Fax

Practice location:
  • Phone: 407-629-1599
  • Fax:
Mailing address:
  • Phone: 407-629-1599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS45254
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: