MEDICARE: MALEK SAAD R.PH

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	PS38692	FL

General Provider Information

NPI Number	:	1861753345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALEK SAAD R.PH

Provider Business Mailing Address
First Line	:	5408 DEERBROOKE CREEK CIR APT 13
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4189
Country	:	US
Telephone Number	:	407-802-7778
Fax Number	:

Provider Business Practice Location Address
First Line	:	8438 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2602
Country	:	US
Telephone Number	:	813-931-7728
Fax Number	:

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

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	05/31/2012

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Directions to “ MALEK SAAD R.PH” Practice Location

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