Provider Demographics
NPI:1972841336
Name:SREEKUMAR, SARITHA N (RPH)
Entity type:Individual
Prefix:
First Name:SARITHA
Middle Name:N
Last Name:SREEKUMAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9239 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9002
Mailing Address - Country:US
Mailing Address - Phone:561-498-1290
Mailing Address - Fax:561-453-1528
Practice Address - Street 1:9239 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9002
Practice Address - Country:US
Practice Address - Phone:561-498-1290
Practice Address - Fax:561-459-1528
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH35934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist