Provider Demographics
NPI:1093084279
Name:ALLMER, MARY
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ALLMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 SWEETMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3320
Mailing Address - Country:US
Mailing Address - Phone:941-924-4986
Mailing Address - Fax:
Practice Address - Street 1:4835 SWEETMEADOW CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3320
Practice Address - Country:US
Practice Address - Phone:941-924-4986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-18
Last Update Date:2011-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS26924183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist