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NPI Code Detail

MEDICARE: MOHAMMED ANWAR SHERIF ABDELSAID RPH

MEDICARE: MOHAMMED ANWAR SHERIF ABDELSAID 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
1183500000XPharmacistPHR031112GA
2333600000XPharmacyPHRE009603GA
3183500000XPharmacistRPH031112GA

General Provider Information

NPI Number : 1366016214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED ANWAR SHERIF ABDELSAID RPH
Provider Business Mailing Address
First Line : 175 SHELTON ST
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-0687
Country : US
Telephone Number : 706-726-6049
Fax Number :
Provider Business Practice Location Address
First Line : 2270 US HIGHWAY 17
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-3669
Country : US
Telephone Number : 706-726-6049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2021
Last Update Date : 05/17/2021

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