Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUJITH IDICULLA
ActiveSUJITH IDICULLA is a Pharmacist healthcare provider located in SUNCITY, Florida. NPI 1386927135 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SUNCITY, FL
Registration Details
- NPI Number
- 1386927135
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2011 (14.858674797112 yrs)
- Last Updated
- Sep 27, 2011
- License
-
PS33004 (FL)
Practice Information
- Address
-
705 NORTH PEBBLE BEACH BLVDWALGREENSSUNCITY, FL, 33573Browse FL providers · Browse ZIP 33573
- Phone
- 8136348393
- Fax
- 8136429066
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.