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NPI Code Detail

MEDICARE: DR. AYESHA PHILYAW PHARM.D.

MEDICARE: DR. AYESHA PHILYAW PHARM.D.
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
1183500000XPharmacistPS43838FL

General Provider Information

NPI Number : 1750663969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AYESHA PHILYAW PHARM.D.
Provider Business Mailing Address
First Line : 17511 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33647-3211
Country : US
Telephone Number : 813-903-8404
Fax Number : 813-903-8424
Provider Business Practice Location Address
First Line : 17511 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33647-3211
Country : US
Telephone Number : 813-903-8404
Fax Number : 813-903-8424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 09/13/2011

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Directions to “ DR. AYESHA PHILYAW PHARM.D.” Practice Location

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