NPI 1053693879

Wafik a Marzouk, RPH

Practitioner Pharmacist Titusville, FL

Practice location

Address: 4600 S Washington Avenue, Titusville, FL 32780
Phone: (321) 269-7573
Mailing address: 2825 S Washington Avenue 658, Titusville, FL 32780-1713

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS42569 (FL)

Other Pharmacist providers in Florida →

Registry record

NPI: 1053693879
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2011
Record last updated: 19 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.