MEDICARE: MR. AYMAN DAABOUL 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
1	183500000X	Pharmacist	PS0032059	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831341759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AYMAN DAABOUL RPH

Provider Business Mailing Address
First Line	:	5770 COACH HOUSE CIR APT F
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-8632
Country	:	US
Telephone Number	:	561-361-4199
Fax Number	:	561-964-7887

Provider Business Practice Location Address
First Line	:	6600 HYPOLUXO RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7676
Country	:	US
Telephone Number	:	561-964-7866
Fax Number	:	561-964-7887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	10/22/2008

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