Provider Demographics
NPI:1811860513
Name:PANDO ESTRADA, SALLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SALLIAM
Middle Name:
Last Name:PANDO ESTRADA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3994 TYRONE BLVD N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-4124
Mailing Address - Country:US
Mailing Address - Phone:727-343-2221
Mailing Address - Fax:
Practice Address - Street 1:3994 TYRONE BLVD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-4124
Practice Address - Country:US
Practice Address - Phone:727-343-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS69578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist