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NPI Code Detail

MEDICARE: ABDELHAMMED SABRI HAMID SHADA RPH

MEDICARE:   ABDELHAMMED SABRI HAMID SHADA  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
1183500000XPharmacist4965PR

General Provider Information

NPI Number : 1417082579
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDELHAMMED SABRI HAMID SHADA RPH
Provider Business Mailing Address
First Line : 870 CALLE LAS MARIAS
Second Line : HYDE PARK
City : SAN JUAN
State : PR
Zip : 00927-4209
Country : US
Telephone Number : 787-763-9536
Fax Number :
Provider Business Practice Location Address
First Line : 870 CALLE LAS MARIAS
Second Line : HYDE PARK
City : SAN JUAN
State : PR
Zip : 00927-4209
Country : US
Telephone Number : 787-763-9536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ ABDELHAMMED SABRI HAMID SHADA RPH” Practice Location

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