Individual
AMANEH MOULAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1201 S INTERNATIONAL PKWY, LAKE MARY, FL 32746-1615
(407) 805-9148
Mailing address
1201 S INTERNATIONAL PKWY, LAKE MARY, FL 32746-1615
(407) 805-9148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49338
FL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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