Provider Demographics
NPI:1801175740
Name:KURIAN, SAJI (PHARM D)
Entity type:Individual
Prefix:
First Name:SAJI
Middle Name:
Last Name:KURIAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12701 SW 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2799
Mailing Address - Country:US
Mailing Address - Phone:352-922-0024
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-2213
Practice Address - Country:US
Practice Address - Phone:352-265-0111
Practice Address - Fax:352-733-9281
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331189-3183500000X
FLPS49709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist