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NPI Code Detail

MEDICARE: MOHAMMED OBAIDULLAH PHARM. D

MEDICARE: MOHAMMED OBAIDULLAH 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
1183500000XPharmacist20054382NY

General Provider Information

NPI Number : 1801119920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED OBAIDULLAH PHARM. D
Provider Business Mailing Address
First Line : 1281 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2011
Country : US
Telephone Number : 718-398-2074
Fax Number : 718-398-3081
Provider Business Practice Location Address
First Line : 1281 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2011
Country : US
Telephone Number : 718-398-2074
Fax Number : 718-398-3081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2010
Last Update Date : 12/02/2020

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