Individual provider · NPI-1

Amonyous Abdelmalak

Pharmacist · Tampa, FL

NPI number1831565787
StatusActive
Last updated in NPPESAug 14, 2015

Details

NPI
1831565787
Entity type
Individual (NPI-1)
Name
Amonyous Abdelmalak
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 14, 2015
Last updated
Aug 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPSI 29724FLYes

Practice location

9811 Ashburn Lake Dr
Tampa, FL 33610-5911

Phone 813-505-6684

Mailing address

9811 Ashburn Lake Dr
Tampa, FL 33610-5911

Phone 813-505-6684

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