Provider Demographics
NPI:1932481207
Name:ENGALA, DEBBIE (PHARMD, CPH)
Entity type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:
Last Name:ENGALA
Suffix:
Gender:F
Credentials:PHARMD, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4634
Mailing Address - Country:US
Mailing Address - Phone:727-767-8670
Mailing Address - Fax:727-767-8818
Practice Address - Street 1:501 6TH AVENUE S.
Practice Address - Street 2:RETAIL PHARMACY, 1ST FLOOR, ROOM 1265
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-767-8670
Practice Address - Fax:727-767-8818
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU75961835P0200X
FLPS37722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0200XPharmacy Service ProvidersPharmacistPediatrics