MEDICARE: ALIYAH ABDUL-RASHEED

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	S022135	AZ
2	183500000X	Pharmacist	S022135	AZ

General Provider Information

NPI Number	:	1063969327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIYAH ABDUL-RASHEED

Provider Business Mailing Address
First Line	:	8325 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-2125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-2125
Country	:	US
Telephone Number	:	623-245-7353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2016
Last Update Date	:	01/27/2020

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