MEDICARE: HUSAM JEBRIL RPH

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	21476	AL

General Provider Information

NPI Number	:	1720691991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUSAM JEBRIL RPH

Provider Business Mailing Address
First Line	:	4730 HIGHWAY 17
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3570
Country	:	US
Telephone Number	:	205-620-0292
Fax Number	:

Provider Business Practice Location Address
First Line	:	4730 HIGHWAY 17
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3570
Country	:	US
Telephone Number	:	205-620-0292
Fax Number	:

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

Provider Enumeration Date	:	08/27/2020
Last Update Date	:	08/28/2021

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Directions to “ HUSAM JEBRIL RPH” Practice Location

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