Individual
SILVIA S IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 9TH ST N, SAINT PETERSBURG, FL 33702-4109
(727) 577-6888
Mailing address
10263 GANDY BLVD N APT 316, SAINT PETERSBURG, FL 33702-2326
(813) 325-6679
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS59010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS59010
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
11/25/2020
Last updated
11/25/2020
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