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NPI Code Detail

MEDICARE: MRS. FIDA SHAKER SAKALLAH-SIAM PHARMD

MEDICARE:  MRS. FIDA SHAKER SAKALLAH-SIAM  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS0038240FL

General Provider Information

NPI Number : 1053422873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FIDA SHAKER SAKALLAH-SIAM PHARMD
Provider Business Mailing Address
First Line : 860 CORAL RIDGE DR APT 204
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-4139
Country : US
Telephone Number : 954-755-5875
Fax Number : 954-755-5875
Provider Business Practice Location Address
First Line : 3435 N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33064-6605
Country : US
Telephone Number : 954-781-0442
Fax Number : 954-781-8595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. FIDA SHAKER SAKALLAH-SIAM PHARMD” Practice Location

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