Individual
ANJANA PREM KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12955 SW 112TH ST, MIAMI, FL 33186-4768
(305) 382-4161
Mailing address
12941 SW 140TH STREET RD, MIAMI, FL 33186-8911
(305) 721-5070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44486
FL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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