PETER BOTROS PHARMACY INC
Suppliers at Orange Camp Rd, Deland, FL

License number
Florida PH23396
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MICHAEL KAMEL
Title: OWNER
Phone: (386) 734-8477
Address
Address
1431 Orange Camp Rd STE 102, Deland, FL 32724
National Provider ID: 1982864831
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER BOTROS PHARMACY, INC

Deland, FL

Status:
Inactive
Industry:
Ret Drugs/Sundries
Inactive reason:
AMENDMENT
Registration:
Oct 15, 2007
Inactive since:
Jan 6, 2009
Addresses:
1431 Orange Cp Rd 102, Deland, FL 32724 (Physical)
1431 Orange Cp Rd, Deland, FL 32724
State ID:
P07000113683
Business type:
Florida Profit Corporation
Vice Presidents:
Jacob Botros (President), 1431 Orange Cp Rd UNIT 102, Deland, FL 32724 (Physical),Sherien Gaber (Treasurer, Secretary), 1431 Orange Cp Rd UNIT 102, Deland, FL 32724 (Physical),Mishmish S Kamel (Vice President), 1431 Orange Cp Rd UNIT 102, Deland, FL 32724 (Physical)
EIN:
41-2255325

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