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Jijo P Alex, RPh

Pharmacist in Port Saint Lucie, FL. Individual provider (NPI-1).

NPI number1811234503
StatusActive
Last updated in NPPESJan 15, 2013

Details

NPI
1811234503
Entity type
Individual (NPI-1)
Name
Jijo P Alex
Credential
RPh
Sex
Male
Sole proprietor
No
Enumeration date
Jan 15, 2013
Last updated
Jan 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS39652FLYes

Practice location

7576 S Us Highway 1
Port Saint Lucie, FL 34952-1450

Phone 772-336-9285

Mailing address

7576 S Us Highway 1
Port Saint Lucie, FL 34952-1450

Phone 772-336-9285

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