Individual
ALBERT OSARUMWENSE EVBAYEKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6690 EAGLE NEST LN, MIAMI LAKES, FL 33014-2264
(305) 821-1402
Mailing address
12959 SW 21ST ST, MIRAMAR, FL 33027-2609
(305) 962-0154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38159
FL
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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