Organization
MALOOKA PHARMA CORP
Active
Other names
Apothicare at Lakewood Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
HAMED ABOUZEID (OWNER)
(973) 479-8032
Entity
Organization
Contact information
Practice address
8618 E STATE ROAD 70, BRADENTON, FL 34202-3785
(941) 751-5000
(941) 751-5002
Mailing address
8618 EAST SR 70, BRADENTON, FL 34202
(941) 751-5000
(941) 751-5002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177548
PK
—
Enumeration date
11/21/2017
Last updated
06/11/2018
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