Individual
MR. BRIJESH SURESH MARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BPHARM,MS
Contact information
Practice address
27440 US HIGHWAY 27 FL 8291, WALGREENS PHARMACY, LEESBURG, FL 34748-8291
(352) 728-8083
(989) 445-3779
Mailing address
1110 GREENSTONE BLVD APT 100, LAKE MARY, FL 32746-5504
(989) 545-1789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48672
FL
183500000X
Pharmacist
5302035614
MI
Other
Enumeration date
03/31/2011
Last updated
10/24/2012
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