IndividualActive
Bishaswar Mahadeo, PHARM. D.
NPI 1558775205 · Pharmacist · Bunnell, FL
Provider details
- NPI number
- 1558775205
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D.
- Sex
- Male
- Sole proprietor
- No
- License
- PS42466 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4750 E Moody Blvd
Unit 107
Bunnell, FL 32110-7709
Phone: (386) 597-1082
Approximate (ZIP-level) locationGet directions
Mailing address
4750 E Moody Blvd
Bunnell, FL 32110-7709
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2014-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.