Healthcare Provider Details

I. General information

NPI: 1932481207
Provider Name (Legal Business Name): DEBBIE ENGALA PHARM.D., C.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 6TH AVENUE S. RETAIL PHARMACY, 1ST FLOOR, ROOM 1265
ST. PETERSBURG FL
33701-4634
US

IV. Provider business mailing address

501 6TH AVE S
ST PETERSBURG FL
33701-4634
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-8670
  • Fax: 727-767-8818
Mailing address:
  • Phone: 727-767-8670
  • Fax: 727-767-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License NumberPU7596
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS37722
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: