Provider Demographics
NPI:1255183026
Name:ETWARU, SEEMA DEVI (PHARMD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:DEVI
Last Name:ETWARU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 MARBLE CREST DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6074
Mailing Address - Country:US
Mailing Address - Phone:352-848-5031
Mailing Address - Fax:
Practice Address - Street 1:3020 MARBLE CREST DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-6074
Practice Address - Country:US
Practice Address - Phone:352-848-5031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist