Healthcare Provider Details

I. General information

NPI: 1982589610
Provider Name (Legal Business Name): DARCI ERYN CONKLIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7727 LAKE UNDERHILL RD
ORLANDO FL
32822-8224
US

IV. Provider business mailing address

3862 BRYCE LN
KISSIMMEE FL
34746-2656
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-6477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPS69304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: