Sujith Idiculla, is a
Pharmacist based in Suncity, Florida. Sujith Idiculla is licensed to practice in Florida (license number PS33004) and his current practice location is
705 North Pebble Beach Blvd, Walgreens, Suncity, Florida. He can be reached at his office (for appointments etc.) via phone at
(813) 634-8393.
NPI number for Sujith Idiculla is 1386927135 and his current mailing address is 6135 Kestrelridge Dr, Lithia, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386927135.
Healthcare Provider's Profile
| Full Name | Sujith Idiculla |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 705 North Pebble Beach Blvd, Suncity, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386927135
- Provider Enumeration Date: 09/27/2011
- Last Update Date: 09/27/2011
Medical Identifiers
Medical identifiers for Sujith Idiculla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386927135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS33004 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sujith Idiculla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sujith Idiculla,
6135 Kestrelridge Dr,
Lithia, FL 33547-4837
Ph: (813) 746-2631 | Sujith Idiculla,
705 North Pebble Beach Blvd, Walgreens,
Suncity, FL 33573
Ph: (813) 634-8393 |
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