Individual
ALI MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E MAIN ST, LOUISA, VA 23093-6518
(540) 967-0771
Mailing address
412 E MAIN ST, LOUISA, VA 23093-6518
(540) 967-0771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
34838
FL
183500000X
Pharmacist
Primary
64838
FL
Other
Enumeration date
09/13/2022
Last updated
11/20/2025
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