Sujith Idiculla

NPI #1386927135 in Suncity, Florida

Provider Information

NPI Number: 1386927135
Entity Type: Individual
Name: Sujith Idiculla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 27, 2011
Last Updated: Sep 27, 2011

Practice Location

Address: 705 NORTH PEBBLE BEACH BLVD
Address 2: WALGREENS
City: Suncity
State: Florida
ZIP Code: 33573
Phone: (813) 634-8393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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