Provider Demographics
NPI:1376880161
Name:DRABEK, CHARLENE ANNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:CHARLENE
Middle Name:ANNE
Last Name:DRABEK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4065 HANCOCK BRIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4294
Mailing Address - Country:US
Mailing Address - Phone:239-997-0008
Mailing Address - Fax:
Practice Address - Street 1:4065 HANCOCK BRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4294
Practice Address - Country:US
Practice Address - Phone:239-997-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist