Individual
BASSEM RAMZY BOUTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
30387 US HIGHWAY 19 N, CLEARWATER, FL 33761-1053
(727) 781-2955
Mailing address
1768 HAWTHORNE CT, OLDSMAR, FL 34677-5051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49708
FL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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