MEDICARE: ALAA BAHR PHARM.D.

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	064406	NY

General Provider Information

NPI Number	:	1508347394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAA BAHR PHARM.D.

Provider Business Mailing Address
First Line	:	845 ROOSEVELT ST
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3822
Country	:	US
Telephone Number	:	347-613-7535
Fax Number	:

Provider Business Practice Location Address
First Line	:	8719 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4605
Country	:	US
Telephone Number	:	347-587-4029
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/28/2018

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Directions to “ ALAA BAHR PHARM.D.” Practice Location

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