Nazih Elgallab
Individual provider Active NPI Pharmacist · Orange City, FL
NPI 1124308663 · NPPES record last updated Aug 27, 2011
Key facts
- NPI
- 1124308663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS39378 (FL)
- Practice address
- 897 Saxon Blvd
Orange City, FL 32763-8204 - Phone
- (386) 775-5336
- NPI assigned
- Aug 27, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS39378 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS39378 | FL | Yes |
Addresses
Primary practice location
897 Saxon Blvd
Orange City, FL 32763-8204
Mailing address
897 Saxon Blvd
Orange City, FL 32763-8204
Phone (386) 775-5336
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.