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NPI Code Detail

MEDICARE: WAHIDULLAH MAHBOOBY PHARMD

MEDICARE: WAHIDULLAH MAHBOOBY 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
1183500000XPharmacistRP457571PA

General Provider Information

NPI Number : 1689442576
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAHIDULLAH MAHBOOBY PHARMD
Provider Business Mailing Address
First Line : 2200 APPLE WAY
Second Line :
City : BENSALEM
State : PA
Zip : 19020-2978
Country : US
Telephone Number : 215-620-7350
Fax Number :
Provider Business Practice Location Address
First Line : 7720 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3818
Country : US
Telephone Number : 215-342-1091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2023
Last Update Date : 12/19/2023

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Directions to “ WAHIDULLAH MAHBOOBY PHARMD” Practice Location

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