Individual
DR. JAY MANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20685 CORKSCREW SHORES BLVD, ESTERO, FL 33928-9167
(815) 955-3688
Mailing address
20685 CORKSCREW SHORES BLVD, ESTERO, FL 33928-9167
(815) 955-3688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-287659
IL
1835G0303X
Geriatric Pharmacist
Primary
PS63633
FL
Other
Enumeration date
01/15/2006
Last updated
12/20/2022
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