Provider Demographics
NPI:1194989400
Name:GIROUD, MADELYN (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:MADELYN
Middle Name:
Last Name:GIROUD
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 VERMONT LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120
Mailing Address - Country:US
Mailing Address - Phone:786-734-3856
Mailing Address - Fax:
Practice Address - Street 1:28100 S. TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-3203
Practice Address - Country:US
Practice Address - Phone:239-495-8552
Practice Address - Fax:239-495-6992
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist