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NPI Code Detail

MEDICARE: AHMED R JALLAD PHARMD.

MEDICARE: AHMED R JALLAD 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
1183500000XPharmacist50827TX

General Provider Information

NPI Number : 1356619639
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMED R JALLAD PHARMD.
Provider Business Mailing Address
First Line : 7021 CASA LOMA CIR
Second Line :
City : EL PASO
State : TX
Zip : 79912-4305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-2531
Country : US
Telephone Number : 915-533-6883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/01/2011

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Directions to “ AHMED R JALLAD PHARMD.” Practice Location

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