Individual
DEPENDER DEDWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
( R.PH )
Contact information
Practice address
3601 BEE RIDGE RD, SARASOTA, FL 34233-1002
(941) 921-4681
Mailing address
6157 ANISE DR, SARASOTA, FL 34238-5149
(941) 312-4686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 46133
FL
Other
Enumeration date
12/15/2011
Last updated
07/27/2019
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