Dr. Jemaal Keenen Verisales, PharmD
Pharmacist in Fort Myers, FL. Individual provider (NPI-1).
NPI number1962002303
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1962002303
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jemaal Keenen Verisales
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS57172 | FL | Yes |
Practice location
4770 Colonial BlvdFort Myers, FL 33966-1034
Phone 239-274-2927 · Fax 239-274-2929
Mailing address
4770 Colonial BlvdFort Myers, FL 33966-1034
Phone 239-274-2927 · Fax 239-274-2929
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