Organization
PROMELL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWUSU SAKYI-AGYEKUM PHARMD (PHARMACY MANAGER)
(904) 437-1529
Entity
Organization
Contact information
Practice address
8291 DANI DR STE 103, FORT MYERS, FL 33966-8009
(239) 766-8300
(239) 766-8400
Mailing address
8291 DANI DR STE 103, FORT MYERS, FL 33966-8009
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/02/2020
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