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NIZUMA ISLAM PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1346868700

Individual Registrant:
 NIZUMA  ISLAM PHARMD
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: --

Contact information for business:
3370 HEIRLOOM ROSE PL  OVIEDO, FL 32766-6606 US
Tel: 407-437-6744  Fax: --

Registration Information:
NPI: 1346868700
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS60036

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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