Provider Demographics
NPI:1639571029
Name:SKIFF, AMY ELAINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELAINE
Last Name:SKIFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2776 CLEVELAND AVE
Mailing Address - Street 2:PHARMACY
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-5856
Mailing Address - Country:US
Mailing Address - Phone:239-343-2636
Mailing Address - Fax:
Practice Address - Street 1:2776 CLEVELAND AVE
Practice Address - Street 2:PHARMACY
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-5856
Practice Address - Country:US
Practice Address - Phone:239-343-2636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS381191835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy