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NPI Code Detail

MEDICARE: DR. ASADULLAH OBAIDI PHARM D

MEDICARE: DR. ASADULLAH OBAIDI 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
1183500000XPharmacist11503OR

General Provider Information

NPI Number : 1598149759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASADULLAH OBAIDI PHARM D
Provider Business Mailing Address
First Line : 2051 NEWMARK AVE
Second Line :
City : COOS BAY
State : OR
Zip : 97420-4728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2051 NEWMARK AVE
Second Line :
City : COOS BAY
State : OR
Zip : 97420-4728
Country : US
Telephone Number : 541-888-5720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2015
Last Update Date : 07/16/2015

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