Organization
HL72 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAILA ABOUZEID PHARM D (RPH MGR)
(973) 479-8032
Entity
Organization
Contact information
Practice address
5193 CLARK RD, SARASOTA, FL 34233-3213
(973) 479-8032
Mailing address
5618 NECTAR CV, BRADENTON, FL 34211-4085
(973) 479-8032
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32967
BOARD OF PHARMACY
FL
Enumeration date
10/20/2020
Last updated
10/20/2020
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