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Organization

MICHAELS PHARMACY

Active
Other names
MICHAELS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WAGIH GIRGIS RPH (PRESIDENT / PIC)
(727) 585-2000
Entity
Organization

Contact information

Practice address
11936 SEMINOLE BLVD, LARGO, FL 33778-2803
(727) 585-2000
(727) 585-2099
Mailing address
11936 SEMINOLE BLVD, LARGO, FL 33778-2803
(727) 585-2000
(727) 585-2099

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH23841
FL
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008316700
FL
01
2118574
PK
Enumeration date
01/13/2009
Last updated
11/12/2020
About Stedi
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