Organization
ISLAND PHARMACY INC
Active
Other names
ISLAND PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIMON MATHAI RPH (PRESIDENT)
(239) 245-1654
Entity
Organization
Contact information
Practice address
2330 PALM RIDGE RD, STE 12, SANIBEL, FL 33957-3280
(239) 472-6188
(239) 472-6144
Mailing address
2330 PALM RIDGE RD, STE 12, SANIBEL, FL 33957-3280
(239) 472-6188
(239) 472-6144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008766
PK
—
Enumeration date
03/27/2007
Last updated
09/19/2025
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