Healthcare Provider Details

I. General information

NPI: 1972644755
Provider Name (Legal Business Name): MINDY DURKIN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 GUNN HWY
TAMPA FL
33626-1618
US

IV. Provider business mailing address

1126 119TH TERR N
SAINT PETERSBURG FL
33716
US

V. Phone/Fax

Practice location:
  • Phone: 813-920-9535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS40284
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPU5942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: