Organization
SEMINOLE PHARMACY
Active
Parent organization
SEMINOLE TRIBE OF FLORIDA HEALTH DEPARTMENT
Other names
SEMINOLE PHARMACY (IMK)
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEMINOLE TRIBE OF FLORIDA HEALTH DEPARTMENT
Authorized official
VANDHANA BHAGWAN KISWANI-BARLEY MD (EXECUTIVE DIRECTOR)
(863) 985-5151
Entity
Organization
Contact information
Practice address
850 SEMINOLE CROSSING TRL, IMMOKALEE, FL 34142-4307
(239) 867-3440
Mailing address
6401 SHERIDAN ST, HOLLYWOOD, FL 33024-4156
(954) 965-1331
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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