Organization
ST.CLOUD PHARMACY & WELLNESS CENTER
Active
Other names
St Cloud Compounding Pharmacy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIBY THOMAS PUTHENPURAYIL RPH (MANAGER)
(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
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/23/2021
Last updated
06/26/2026
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