Provider Demographics
NPI:1437238813
Name:POLLARD, KIMBERLY JO (PHARMD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JO
Last Name:POLLARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:JO
Other - Last Name:CRYTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2489 DIPLOMAT PKWY. E.
Mailing Address - Street 2:OUTPATIENT PHARMACY
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909
Mailing Address - Country:US
Mailing Address - Phone:239-652-1800
Mailing Address - Fax:239-652-1940
Practice Address - Street 1:2489 DIPLOMAT PKWY. E.
Practice Address - Street 2:OUTPATIENT PHARMACY
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909
Practice Address - Country:US
Practice Address - Phone:239-652-1800
Practice Address - Fax:239-652-1940
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist