Individual
BIJO CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2300 S GOLDENROD RD, ORLANDO, FL 32822-7902
(407) 380-6361
Mailing address
2300 S GOLDENROD RD, ORLANDO, FL 32822-7902
(407) 380-6361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037887
MI
183500000X
Pharmacist
PS60245
FL
Other
Enumeration date
03/15/2017
Last updated
08/03/2024
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