Individual
AICHETOU CHEIKH ELMOUSTAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6615 MAHAN DR, TALLAHASSEE, FL 32308-1400
(850) 878-5559
(850) 878-4909
Mailing address
6615 MAHAN DR, TALLAHASSEE, FL 32308-1400
(850) 878-5559
(850) 878-4909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS46729
STATE LICENSE
FL
Enumeration date
09/21/2015
Last updated
09/21/2015
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