Most Relevant Information
Provider Data
| NPI Number: | 1003474453 |
| Provider Name: | GAMAL OMAR RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS32144 |
Most Important Dates
| Enumeration Date: | 05/31/2019 |
| Last Updated: | 05/31/2019 |
Provider Practice Location
3990 E STAE RD 44
UNIT 207
WILDWOOD
FL
347853478
Practice Location Phone/Fax
| Phone: | 3524929333 |
| Fax: | 3523996234 |
Provider Mailing Location
10371 HENBURY ST UNIT 207
ORLANDO
FL
328326954
Provider Mailing Phone/Fax
| Phone: | 4074923041 |
| Fax: |