| NPI | 1396043261 |
|---|---|
| Doing Business As | ST. CLOUD PHARMACY & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SIBY THOMAS PUTHENPURAYIL Pharmacist 407-593-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH25210) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2019-05-21 |