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NIZUMA ISLAM PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1346868700
Individual Registrant: NIZUMA ISLAM PHARMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4195 W LAKE MARY BLVD LAKE MARY, FL 32746-2410 US
Tel: 407-437-6744 Fax: --
Tel: 407-437-6744 Fax: --
Contact information for business:
3370 HEIRLOOM ROSE PL OVIEDO, FL 32766-6606 US
Tel: 407-437-6744 Fax: --
Tel: 407-437-6744 Fax: --
Registration Information:
NPI: 1346868700
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS60036 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
