Individual
ALLIE MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7333 PARK BLVD N, PINELLAS PARK, FL 33781-2922
(727) 546-5866
Mailing address
7925 66TH WAY N, PINELLAS PARK, FL 33781-2059
(313) 289-2911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47026
FL
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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