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NPI Code Detail

MEDICARE: DR. ABRAHAM K SANKARAMANGALATH M.PHARM, PHARM.D

MEDICARE: DR. ABRAHAM K SANKARAMANGALATH M.PHARM, PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS40708FL

General Provider Information

NPI Number : 1710269964
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABRAHAM K SANKARAMANGALATH M.PHARM, PHARM.D
Provider Business Mailing Address
First Line : 6730 US HIGHWAY 98 N
Second Line :
City : LAKELAND
State : FL
Zip : 33809-3284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 311 E MEMORIAL BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33801-1766
Country : US
Telephone Number : 863-688-1386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 12/23/2022

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