Individual
AHLAM FAQQOUSEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6138 9TH AVENUE CIR NE, BRADENTON, FL 34212-9559
(941) 726-6638
Mailing address
6138 9TH AVENUE CIR NE, BRADENTON, FL 34212-9559
(941) 726-6638
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS55938
FL
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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