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NPI Code Detail

MEDICARE: MR. YASER SAMIH YOUSEF RPH

MEDICARE:  MR. YASER SAMIH YOUSEF  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS 30225FL

General Provider Information

NPI Number : 1174647523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YASER SAMIH YOUSEF RPH
Provider Business Mailing Address
First Line : 200 AVENUE K SE APT 213
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-4051
Country : US
Telephone Number : 863-294-0042
Fax Number : 863-421-0578
Provider Business Practice Location Address
First Line : 36019 HWY 27
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-3740
Country : US
Telephone Number : 863-421-0639
Fax Number : 863-421-0578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ MR. YASER SAMIH YOUSEF RPH” Practice Location

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