MEDICARE: SAM K ALMUKDAD 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	81562	CA

General Provider Information

NPI Number	:	1427627942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAM K ALMUKDAD PHARMD

Provider Business Mailing Address
First Line	:	81 SAINT MICHAELS CT
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-2161
Country	:	US
Telephone Number	:	415-518-6871
Fax Number	:

Provider Business Practice Location Address
First Line	:	32980 ALVARADO NILES RD
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-8104
Country	:	US
Telephone Number	:	800-552-5520
Fax Number	:	800-893-6623

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

Provider Enumeration Date	:	06/19/2021
Last Update Date	:	06/19/2021

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Directions to “ SAM K ALMUKDAD PHARMD” Practice Location

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