Sujith Idiculla

Pharmacist · Suncity, FL

Individual Active NPI

NPI number 1386927135

Practice location

705 North Pebble Beach Blvd
Walgreens
Suncity, FL 33573
Phone
(813) 634-8393
Fax
(813) 642-9066

Open in Google Maps

NPI record

NPI
1386927135
Entity type
Individual (Type 1)
Enumeration date
September 27, 2011
Last updated
September 27, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS33004 FL

Mailing address

6135 Kestrelridge Dr
Lithia, FL 33547-4837
Phone
(813) 746-2631
Fax
(813) 642-9066

About Sujith Idiculla

Sujith Idiculla is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 705 North Pebble Beach Blvd, Walgreens, Suncity, FL 33573. The NPI number 1386927135 was assigned on September 27, 2011 and the record was last updated on September 27, 2011.

Sujith Idiculla lists a license in the registry: #PS33004 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sujith Idiculla?

The NPI number is 1386927135.

What is the phone number of Sujith Idiculla?

The phone number listed for the practice location is (813) 634-8393.

Where is Sujith Idiculla located?

705 North Pebble Beach Blvd, Walgreens, Suncity, FL 33573.

What is the taxonomy code for Sujith Idiculla?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.