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Individual

DR. ARCHANA YAMSANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18911 S TAMIAMI TRL, FORT MYERS, FL 33908-4734
(239) 590-8820
(239) 590-8822
Mailing address
9050 PASEO DE VALENCIA ST, FORT MYERS, FL 33908-9663
(914) 356-6822

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52579
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS52579
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
03/06/2019
Last updated
03/06/2019
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