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ILONA GORELASHVILI

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1164827630

Individual Registrant:
 ILONA  GORELASHVILI 
Gender: F
Sole Proprietor

Location and contact information for practice:
16711 COLLINS AVE APT 1507  SUNNY ISLES BEACH, FL 33160-4293 US
Tel: 718-844-9817  Fax: --

Contact information for business:
16711 COLLINS AVE APT 1507  SUNNY ISLES BEACH, FL 33160-4293 US
Tel: 718-844-9817  Fax: --

Registration Information:
NPI: 1164827630
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS52647
N183500000XPharmacy Service Providers
Pharmacist
NY059678

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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