Individual provider · Type 1 NPI

Siddique Rezan Mohammed

Pharmacist · Punta Gorda, FL

NPI number 1255297974 Active

Practice location

3795 Tamiami Trl
Punta Gorda, FL 33950-7900

Fax (941) 505-8881

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS69988 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1255297974

Siddique Rezan Mohammed's National Provider Identifier is 1255297974, issued on Dec 26, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Punta Gorda, FL. The record was last updated on Dec 26, 2025.