Mandra, Jay

Mandra, Jay is an sole proprietor health care provider with primary practice located at 20685 Corkscrew Shores Blvd , Estero FL 33928-9167. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Geriatric is his primary health care specialty. Mandra, Jay can be contacted via phone (815) 955-3688.

Contact Information

Primary practice address
20685 Corkscrew Shores Blvd Estero FL 33928-9167
Phone: (815) 955-3688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X PS63633 Florida
Pharmacy Service Providers / Pharmacist 183500000X 051-287659 Illinois

Profile Details

NPI number 1558340711
LBN Legal business name Mandra, Jay
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2006
Last updated Dec 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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