Provider Demographics
NPI:1417743188
Name:YOUNAN, GIRGIS (RPH)
Entity type:Individual
Prefix:
First Name:GIRGIS
Middle Name:
Last Name:YOUNAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:GIRGIS
Other - Middle Name:AYAD ABASHAROUN
Other - Last Name:YOUNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1137
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32902-1137
Mailing Address - Country:US
Mailing Address - Phone:321-241-6800
Mailing Address - Fax:321-241-6890
Practice Address - Street 1:220 BARTON BLVD UNIT C-14
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2742
Practice Address - Country:US
Practice Address - Phone:321-241-6800
Practice Address - Fax:321-241-6890
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS68538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist