Organization
MEDICAL ARTS PRESCRIPTION SHOP
Active
Other names
MEDICAL ARTS PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
AMAL HEGAZY RPH (PHARMACIST)
(407) 422-8104
Entity
Organization
Contact information
Practice address
2021 S ORANGE AVE, ORLANDO, FL 32806-3035
(407) 422-8104
(407) 422-8105
Mailing address
522 S HUNT CLUB BLVD, STE 350, APOPKA, FL 32703-4960
(407) 422-8104
(407) 422-8105
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH15515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018250
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
106172100
—
FL
Enumeration date
07/30/2006
Last updated
07/14/2009
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