Provider Demographics
NPI:1508455064
Name:PROPHETE, STANLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:PROPHETE
Suffix:
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 1:7280 CLOISTER DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8071
Mailing Address - Country:US
Mailing Address - Phone:561-779-9727
Mailing Address - Fax:941-882-5017
Practice Address - Street 1:7280 CLOISTER DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8071
Practice Address - Country:US
Practice Address - Phone:561-779-9727
Practice Address - Fax:941-882-5017
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist