Individual
ALI GHALIB JAAFAR AZZAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6025 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7316
(352) 481-3105
Mailing address
6025 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7316
(352) 481-3105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53000
FL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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