Healthcare Provider Details

I. General information

NPI: 1295841112
Provider Name (Legal Business Name): CATHERINE DENISE SYPNIEWSKI PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 BAY PINES BLVD PHARMACY DEPT
BAY PINES FL
33744
US

IV. Provider business mailing address

13327 93RD AVE
SEMINOLE FL
33776-2429
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-6661
  • Fax:
Mailing address:
  • Phone: 727-398-6661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS27062
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: