MEDICARE: ABDUL KARIM SHAMSEDDINE

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	19516	MA
2	183500000X	Pharmacist	PH19516	MA

General Provider Information

NPI Number	:	1619563889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDUL KARIM SHAMSEDDINE

Provider Business Mailing Address
First Line	:	471 LIBERTY ST
Second Line	:
City	:	HANSON
State	:	MA
Zip	:	02341-1167
Country	:	US
Telephone Number	:	781-293-3545
Fax Number	:

Provider Business Practice Location Address
First Line	:	471 LIBERTY ST
Second Line	:
City	:	HANSON
State	:	MA
Zip	:	02341-1167
Country	:	US
Telephone Number	:	781-293-3545
Fax Number	:

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

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	12/11/2020

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Directions to “ ABDUL KARIM SHAMSEDDINE ” Practice Location

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