MEDICARE: MOHANNAD RASHID 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	RP00008967	NM

General Provider Information

NPI Number	:	1548737885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHANNAD RASHID PHARMD

Provider Business Mailing Address
First Line	:	907 W COAL AVE
Second Line	:
City	:	GALLUP
State	:	NM
Zip	:	87301-6643
Country	:	US
Telephone Number	:	505-726-4155
Fax Number	:	505-726-4303

Provider Business Practice Location Address
First Line	:	2025 CHICAGO AVE STE A3
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-2315
Country	:	US
Telephone Number	:	951-900-1120
Fax Number	:

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

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	06/30/2025

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