Individual
MR. AQUIL REMTULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7815 S US HIGHWAY 17/92, FERN PARK, FL 32730-2261
(407) 331-0968
(407) 331-7904
Mailing address
7815 S US HIGHWAY 17/92, FERN PARK, FL 32730-2261
(407) 331-0968
(407) 331-7904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361924025
TAX ID
FL
Enumeration date
12/29/2011
Last updated
12/29/2011
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