Individual
ALI ROUHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1478 W GRANADA BLVD, ORMOND BEACH, FL 32174-9165
(386) 677-4215
Mailing address
1478 W GRANADA BLVD, ORMOND BEACH, FL 32174-9165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51361
FL
Other
Enumeration date
11/26/2013
Last updated
04/21/2015
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