Organization · Type 2 NPI

Seminole Pharmacy

Clinic Pharmacy · Immokalee, FL

NPI number 1750006656 Active

Practice location

850 Seminole Crossing Trl
Immokalee, FL 34142-4307

Call (239) 867-3440 Map

Mailing address

6401 Sheridan St
Hollywood, FL 33024-4156

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

NPI record

NPI: 1750006656
Entity type: Organization (Type 2)
Issued: Oct 4, 2022
Last updated: Oct 4, 2022
Status: Active
Subpart: Yes of Seminole Tribe of Florida Health Department

Other names

Seminole Pharmacy (imk) · doing business as

Authorized official

Vandhana Bhagwan Kiswani-Barley, MD
Executive Director
(863) 985-5151

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750006656

Seminole Pharmacy's National Provider Identifier is 1750006656, issued on Oct 4, 2022. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Immokalee, FL. The record was last updated on Oct 4, 2022.