Provider Demographics
NPI:1114797123
Name:SANCHEZ, JENNY (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 GOLDEN GATE PKWY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-6964
Mailing Address - Country:US
Mailing Address - Phone:239-304-1154
Mailing Address - Fax:239-304-2214
Practice Address - Street 1:4747 GOLDEN GATE PKWY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6964
Practice Address - Country:US
Practice Address - Phone:239-304-1154
Practice Address - Fax:239-304-2214
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist