Provider Demographics
NPI:1740781350
Name:SANCHEZ-MARRERO, ESTELLE (M PHARM)
Entity Type:Individual
Prefix:
First Name:ESTELLE
Middle Name:
Last Name:SANCHEZ-MARRERO
Suffix:
Gender:F
Credentials:M PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SE 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1425
Mailing Address - Country:US
Mailing Address - Phone:210-380-0070
Mailing Address - Fax:
Practice Address - Street 1:4 SE 21ST AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1425
Practice Address - Country:US
Practice Address - Phone:210-380-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist