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Individual

ALEX SHULMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
14826 TAMIAMI TRL, NORTH PORT, FL 34287-2701
(941) 429-7766
(941) 500-0888
Mailing address
14826 TAMIAMI TRL, NORTH PORT, FL 34287-2701
(941) 429-7766

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS32384
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS32384
FL BOARD OF PHARMACY
FL
Enumeration date
12/18/2019
Last updated
12/18/2019
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