Provider Demographics
NPI:1073790457
Name:CUPETO, ELEANOR LEEANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:LEEANN
Last Name:CUPETO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LEEANN
Other - Middle Name:
Other - Last Name:CUPETO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11750 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-5303
Mailing Address - Country:US
Mailing Address - Phone:772-545-5666
Mailing Address - Fax:
Practice Address - Street 1:11750 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-5303
Practice Address - Country:US
Practice Address - Phone:772-456-5666
Practice Address - Fax:772-545-5672
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist