Individual
ANDY HIEU MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2695
(239) 424-2000
Mailing address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6765
(315) 481-8623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59374
FL
Other
Enumeration date
06/06/2020
Last updated
08/28/2021
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