Organization
SAINT CLOUD PHARMACY AND WELLNESS CENTER INC
Active
Other names
ST. CLOUD PHARMACY & WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIBY THOMAS PUTHENPURAYIL RPH (PHARMACIST)
(407) 593-2959
Entity
Organization
Contact information
Practice address
2801 13TH ST, SAINT CLOUD, FL 34769-4134
(407) 593-2959
(407) 593-2957
Mailing address
2801 13TH ST, SAINT CLOUD, FL 34769-4134
(407) 593-2959
(407) 593-2957
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
Primary
PH25210
FL
Other
Enumeration date
03/02/2011
Last updated
05/21/2019
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