Mikhail Fonarov, RPH

NPI #1164138053 in West Park, Florida

Provider Information

NPI Number: 1164138053
Entity Type: Individual
Name: Mikhail Fonarov, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 25, 2023
Last Updated: Jan 25, 2023

Practice Location

Address: 3801 SW 31ST DR
City: West Park
State: Florida
ZIP Code: 33023-5677
Phone: (786) 325-0999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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