MEDICARE: BASHAR SAMEER ALWAN ALBADRI 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
1	183500000X	Pharmacist	033.0135318	VT

General Provider Information

NPI Number	:	1285494120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASHAR SAMEER ALWAN ALBADRI PHARMD

Provider Business Mailing Address
First Line	:	1711 ROSEDALE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2899
Country	:	US
Telephone Number	:	781-605-8642
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 S VOSS RD STE 575
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3812
Country	:	US
Telephone Number	:	781-605-8642
Fax Number	:

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

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

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