Provider Demographics
NPI:1467859140
Name:L & H PHARMA CORP
Entity Type:Organization
Organization Name:L & H PHARMA CORP
Other - Org Name:CALOOSA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE (PIC)
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMED
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABOUZEID
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:239-800-2419
Mailing Address - Street 1:8 DEL PRADO BLVD S STE F
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1773
Mailing Address - Country:US
Mailing Address - Phone:239-800-2419
Mailing Address - Fax:239-800-2421
Practice Address - Street 1:8 DEL PRADO BLVD S STE F
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1773
Practice Address - Country:US
Practice Address - Phone:239-800-2419
Practice Address - Fax:239-800-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH277883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014061100Medicaid