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NPI Code Detail

MEDICARE: AMAL MOHAMMED RPH

MEDICARE:   AMAL  MOHAMMED  RPH
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
1183500000XPharmacist63872TX

General Provider Information

NPI Number : 1104431139
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL MOHAMMED RPH
Provider Business Mailing Address
First Line : 2322 TEXAS AVE S
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-4632
Country : US
Telephone Number : 979-696-5908
Fax Number : 979-696-8748
Provider Business Practice Location Address
First Line : 2322 TEXAS AVE S
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-4632
Country : US
Telephone Number : 979-696-5908
Fax Number : 979-696-8748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2020
Last Update Date : 09/15/2020

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Directions to “ AMAL MOHAMMED RPH” Practice Location

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