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NPI Code Detail

MEDICARE: DR. OSAMA SUBHI DAHER DOCTOR OF PHARMACY

MEDICARE:  DR. OSAMA SUBHI DAHER  DOCTOR OF PHARMACY
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
1183500000XPharmacist03326904OH

General Provider Information

NPI Number : 1811431018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OSAMA SUBHI DAHER DOCTOR OF PHARMACY
Provider Business Mailing Address
First Line : 2323 BROADVIEW RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-4177
Country : US
Telephone Number : 216-661-5077
Fax Number :
Provider Business Practice Location Address
First Line : 2323 BROADVIEW RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-4177
Country : US
Telephone Number : 216-661-5077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2016
Last Update Date : 12/07/2016

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Directions to “ DR. OSAMA SUBHI DAHER DOCTOR OF PHARMACY” Practice Location

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