=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467859140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | L & H PHARMA CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2014
-----------------------------------------------------
Last Update Date | 04/16/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8 DEL PRADO BLVD S STE F
-----------------------------------------------------
City | CAPE CORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33990-1773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-800-2419
-----------------------------------------------------
Fax | 239-800-2421
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 DEL PRADO BLVD S STE F
-----------------------------------------------------
City | CAPE CORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33990-1773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-800-2419
-----------------------------------------------------
Fax | 239-800-2421
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST IN CHARGE (PIC)
-----------------------------------------------------
Name | DR. HAMED E ABOUZEID
-----------------------------------------------------
Credential | PHARM D
-----------------------------------------------------
Telephone | 239-800-2419
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH27788
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------