Provider Demographics
NPI:1982204095
Name:ASKER, AMR
Entity Type:Individual
Prefix:
First Name:AMR
Middle Name:
Last Name:ASKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5595 PEDRICK PLANTATION CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-8204
Mailing Address - Country:US
Mailing Address - Phone:850-459-1055
Mailing Address - Fax:
Practice Address - Street 1:1940 PAT THOMAS PKWY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-8785
Practice Address - Country:US
Practice Address - Phone:850-875-1231
Practice Address - Fax:850-627-2278
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist