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NPI Code Detail

MEDICARE: ABDUL SAMEE MOHAMMED RPH

MEDICARE: ABDUL SAMEE MOHAMMED 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
1183500000XPharmacist013820KY

General Provider Information

NPI Number : 1467610576
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDUL SAMEE MOHAMMED RPH
Provider Business Mailing Address
First Line : 517 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2947
Country : US
Telephone Number : 270-827-1897
Fax Number : 270-827-1809
Provider Business Practice Location Address
First Line : 517 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2947
Country : US
Telephone Number : 270-827-1897
Fax Number : 270-827-1809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2008
Last Update Date : 05/26/2008

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