Seminole Pharmacy

NPI #1750006656 in Immokalee, Florida

Provider Information

NPI Number
1750006656
Entity Type
Organization
Organization Name
Seminole Pharmacy
Subpart
Yes (part of a larger organization)
Parent Organization
SEMINOLE TRIBE OF FLORIDA HEALTH DEPARTMENT
Primary Specialty
Pharmacy - Clinic Pharmacy
Enumeration Date
Oct 4, 2022
Last Updated
Oct 4, 2022

Practice Location

Address
850 SEMINOLE CROSSING TRL
State
Florida
ZIP Code
34142-4307
Phone
(239) 867-3440

Authorized Official

Name
VANDHANA BHAGWAN KISWANI-BARLEY, MD
Title
EXECUTIVE DIRECTOR
Phone
(863) 985-5151

Specialties & Taxonomy Codes

Specialty
Pharmacy - Clinic PharmacyClinic Pharmacy

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