Individual
APINYA SUPPATKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
17050 N TAMIAMI TRL, FORT MYERS, FL 33903
(239) 482-7113
(239) 482-0625
Mailing address
17050 N TAMIAMI TRL, FORT MYERS, FL 33903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051294787
IL
183500000X
Pharmacist
Primary
PS46741
FL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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