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NPI Code Detail

MEDICARE: EMAN AZIZ ROUFAIL

MEDICARE:   EMAN AZIZ ROUFAIL
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
1183500000XPharmacistPS43060FL

General Provider Information

NPI Number : 1679844294
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMAN AZIZ ROUFAIL
Provider Business Mailing Address
First Line : 6302 US HIGHWAY 19
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-2530
Country : US
Telephone Number : 727-815-3233
Fax Number :
Provider Business Practice Location Address
First Line : 6302 US HIGHWAY 19
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-2530
Country : US
Telephone Number : 727-815-3233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 01/13/2012

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Directions to “ EMAN AZIZ ROUFAIL ” Practice Location

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