MEDICARE: ADE KANMBI ALABA R.PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15025	FL

General Provider Information

NPI Number	:	1407185317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADE KANMBI ALABA R.PH

Provider Business Mailing Address
First Line	:	1438 GULF TO BAY BLVD
Second Line	:	P.O.BOX 6502
City	:	CLEARWATER
State	:	FL
Zip	:	33755-5341
Country	:	US
Telephone Number	:	727-441-8361
Fax Number	:	727-441-8361

Provider Business Practice Location Address
First Line	:	1438 GULF-TO-BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755
Country	:	US
Telephone Number	:	727-441-8361
Fax Number	:	727-441-8361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2009
Last Update Date	:	07/05/2026

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