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NPI Code Detail

MEDICARE: ROLA ALI ABDELMUHSEN PHARMD

MEDICARE: ROLA ALI ABDELMUHSEN 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
1183500000XPharmacist019219LA

General Provider Information

NPI Number : 1184930224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROLA ALI ABDELMUHSEN PHARMD
Provider Business Mailing Address
First Line : 2252 KILLINGTON DR
Second Line :
City : HARVEY
State : LA
Zip : 70058-5435
Country : US
Telephone Number : 504-813-6398
Fax Number :
Provider Business Practice Location Address
First Line : 5112 ESSEN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3540
Country : US
Telephone Number : 225-769-7224
Fax Number : 225-769-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2010
Last Update Date : 08/26/2010

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