Organization
ERXHUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERIAM IBRAHIM (PHARMACY MANAGER)
(800) 311-5805
Entity
Organization
Contact information
Practice address
34911 US HIGHWAY 19 N, PALM HARBOR, FL 34684
(800) 311-5805
Mailing address
34911 US HIGHWAY 19 N, PALM HARBOR, FL 34684
(800) 311-5805
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH35276
FL DEPT OF HEALTH
FL
Enumeration date
08/28/2024
Last updated
10/15/2025
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