Provider Demographics
NPI:1275828881
Name:READ, MARY HENRY (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:HENRY
Last Name:READ
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 1:2075 SIESTA DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5232
Mailing Address - Country:US
Mailing Address - Phone:941-366-0880
Mailing Address - Fax:941-366-4977
Practice Address - Street 1:2075 SIESTA DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5232
Practice Address - Country:US
Practice Address - Phone:941-366-0880
Practice Address - Fax:941-366-4977
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist