Provider Demographics
NPI:1215457957
Name:YOUSEF, MINA (PHARM D)
Entity type:Individual
Prefix:
First Name:MINA
Middle Name:
Last Name:YOUSEF
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 S BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-2877
Mailing Address - Country:US
Mailing Address - Phone:727-531-2007
Mailing Address - Fax:727-531-2205
Practice Address - Street 1:1474 S BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-2877
Practice Address - Country:US
Practice Address - Phone:727-531-2007
Practice Address - Fax:727-531-2205
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist