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1649517699
MICHAEL STEPHEN MALLOUK
FORT MYERS, FL
NPI
1649517699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS17142)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
Mr. MICHAEL STEPHEN MALLOUK BS Pharmacy
11600 GLADIOLUS DR
FORT MYERS, FL 33908-4567
Phone number: 239-437-3681
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Mailing Address
Mr. MICHAEL STEPHEN MALLOUK BS Pharmacy
11600 GLADIOLUS DR
FORT MYERS, FL 33908-4567
Phone number: 239-437-3681
Copy
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