Provider Demographics
NPI:1043557689
Name:NEWBERRY, ALBERT ZEYLON II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ZEYLON
Last Name:NEWBERRY
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 34TH ST N
Mailing Address - Street 2:ATTN PHARMACY DEPARTMENT
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-3602
Mailing Address - Country:US
Mailing Address - Phone:727-327-3039
Mailing Address - Fax:
Practice Address - Street 1:1700 34TH ST N
Practice Address - Street 2:ATTN PHARMACY DEPARTMENT
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-3602
Practice Address - Country:US
Practice Address - Phone:727-327-3039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist