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NPI Code Detail

MEDICARE: RASIDUL HASAN RPH

MEDICARE: RASIDUL HASAN 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
1183500000XPharmacistPS38746FL

General Provider Information

NPI Number : 1710581202
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASIDUL HASAN RPH
Provider Business Mailing Address
First Line : 33219 IRONGATE DR
Second Line :
City : LEESBURG
State : FL
Zip : 34788-3134
Country : US
Telephone Number : 352-459-8549
Fax Number : 352-357-8576
Provider Business Practice Location Address
First Line : 17021 US HIGHWAY 441
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-6734
Country : US
Telephone Number : 352-357-6904
Fax Number : 352-357-8576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2020
Last Update Date : 11/24/2020

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