Healthcare Provider Details

I. General information

NPI: 1811786403
Provider Name (Legal Business Name): GRACIELA MESHKALLA CHAMI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRACIELA MESHKALLA

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 HENDERSON RD
TAMPA FL
33634-1143
US

IV. Provider business mailing address

10307 MILLPORT DR
TAMPA FL
33626-1707
US

V. Phone/Fax

Practice location:
  • Phone: 866-339-2787
  • Fax:
Mailing address:
  • Phone: 727-249-4193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: