Individual
DR. MANDATH MANNY SEETARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD,,BCPS
Contact information
Practice address
9195 NUGENT TRL, WEST PALM BEACH, FL 33411-6325
(561) 714-7229
Mailing address
9195 NUGENT TRL, WEST PALM BEACH, FL 33411-6325
(561) 714-7229
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS33656
FL
1835P1200X
Pharmacotherapy Pharmacist
PU5535
FL
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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