Healthcare Provider Details

I. General information

NPI: 1477470417
Provider Name (Legal Business Name): ANISA HASSAN SHALABI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 7TH ST N
NAPLES FL
34102-5754
US

IV. Provider business mailing address

4686 ABACA CIR
NAPLES FL
34119-9826
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-3760
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS61019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: