Most Relevant Information
Provider Data
| NPI Number: | 1003181033 |
| Provider Name: | SIBY THOMAS PUTHENPURAYIL RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1835G0303X |
| Specialty: | Pharmacist |
| License Number: | PS42494 |
Most Important Dates
| Enumeration Date: | 03/08/2012 |
| Last Updated: | 10/03/2023 |
Provider Practice Location
2801 13TH ST
SAINT CLOUD
FL
347694134
Practice Location Phone/Fax
| Phone: | 4075932959 |
| Fax: | 4075932957 |
Provider Mailing Location
2801 13TH ST
SAINT CLOUD
FL
347694134
Provider Mailing Phone/Fax
| Phone: | 4075932959 |
| Fax: | 4075932957 |