IndividualActive
Mamta Udasi
NPI 1942834759 · Pharmacist · Mango, FL
Provider details
- NPI number
- 1942834759
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS59149 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
11509 East Martin Luther King Jr. Blvd
Mango, FL 33550
Phone: (813) 448-1323
Approximate (ZIP-level) locationGet directions
Mailing address
9630 Orange Jasmine Way
Tampa, FL 33647-3075
Registry dates
- Enumerated
- 2020-03-02
- Last updated
- 2020-03-02
- Certified
- 2020-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.