Provider Demographics
NPI:1649549783
Name:BRINDLEY, ROCHELLE LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:LYNN
Last Name:BRINDLEY
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 1:21950 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3231
Mailing Address - Country:US
Mailing Address - Phone:239-948-3458
Mailing Address - Fax:
Practice Address - Street 1:21950 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3231
Practice Address - Country:US
Practice Address - Phone:239-948-3458
Practice Address - Fax:239-948-9825
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist