Individual
ATULKUMAR R MALAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
750 MLK BLVD, SEFFNER, FL 33584-4534
(813) 651-1588
Mailing address
10715 PICTORIAL PARK DR, TAMPA, FL 33647-2567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40461
FL
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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