Provider Demographics
NPI:1316540602
Name:GHROUF, AHMAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:
Last Name:GHROUF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E PINE ST APT 824
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-6619
Mailing Address - Country:US
Mailing Address - Phone:347-861-5152
Mailing Address - Fax:
Practice Address - Street 1:65 E MAIN ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5255
Practice Address - Country:US
Practice Address - Phone:347-861-5152
Practice Address - Fax:888-412-6022
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist