Individual provider · NPI-1
Ali Ghalib Jaafar Azzawi
Pharmacist · Hawthorne, FL
NPI number1205430758
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1205430758
- Entity type
- Individual (NPI-1)
- Name
- Ali Ghalib Jaafar Azzawi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS53000 | FL | Yes |
Practice location
6025 Se Us Highway 301Hawthorne, FL 32640-7316
Phone 352-481-3105
Mailing address
6025 Se Us Highway 301Hawthorne, FL 32640-7316
Phone 352-481-3105
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