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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHANIE LYNN SHIDEMANTLE, PHARM.D.

Active

DR. STEPHANIE LYNN SHIDEMANTLE, PHARM.D. is a Pharmacist healthcare provider located in FORT WALTON BEACH, Florida. NPI 1750666954 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FORT WALTON BEACH, FL

Registration Details

NPI Number
1750666954
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2011 (14.810038142538 yrs)
Last Updated
Dec 21, 2022
Licenses
PS50073 (FL)
023927 (GA)

Practice Information

Address
414C MARY ESTHER CTO NW
FORT WALTON BEACH, FL, 325484060
Browse FL providers · Browse ZIP 32548
Phone
8502440869
Fax
8502441403
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in FORT WALTON BEACH, FL

Name Credential NPI
DR. TRACY LYNN MCMORROW PHARM. D. 1891806204
JAMES C BARRENTINE R.PH. 1669569455
MR. VENKATA R MAGISETTY 1891882569
DR. SUSAN ANN BROWNSBERGER PHARMD 1336351857
DR. LAWRENCE MAZZARELLA PHARM.D 1477792935
MS. ROSILYN HILL RPH, MS 1659508323
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.