Healthcare Provider Details

I. General information

NPI: 1841073988
Provider Name (Legal Business Name): OSMAN MOHAMMED SBAITI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 COMMERCE DR
NEW BERN NC
28562-2213
US

IV. Provider business mailing address

1301 COMMERCE DR
NEW BERN NC
28562-2213
US

V. Phone/Fax

Practice location:
  • Phone: 252-636-1711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32478
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: