BASIL ITANI

TITUSVILLE, FL
NPI1588934012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS34835)
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
Dr. BASIL ITANI Pharmd
2507 GARDEN ST
TITUSVILLE, FL 32796-4612
Phone number: 321-269-7772
Mailing Address
Dr. BASIL ITANI Pharmd
2507 GARDEN ST
TITUSVILLE, FL 32796-4612
Phone number: 321-269-7772
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