MEDICARE: MR. KARIM A REMTULLAH BPHARM

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	RP00006661	NM

General Provider Information

NPI Number	:	1356551014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KARIM A REMTULLAH BPHARM

Provider Business Mailing Address
First Line	:	7309 VIA CONTENTA NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1342
Country	:	US
Telephone Number	:	505-453-5926
Fax Number	:

Provider Business Practice Location Address
First Line	:	3542 ZAFARANO DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-2606
Country	:	US
Telephone Number	:	505-471-2914
Fax Number	:	505-471-2463

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	04/06/2025

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