Individual
MS. BHAIRAVI YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
950 IMMOKALEE RD, NAPLES, FL 34110-4800
(239) 514-2049
(239) 514-3549
Mailing address
950 IMMOKALEE RD, NAPLES, FL 34110-4800
(239) 514-2049
(239) 514-3549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13478
MD
183500000X
Pharmacist
Primary
PS0038498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0038948
STATE BOARD OF FLORIDA REGISTERED PHARMACIST LICENSE
FL
Enumeration date
01/01/2012
Last updated
01/01/2012
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