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NPI Code Detail

MEDICARE: FATIMAH ABDULWAHAB

MEDICARE: FATIMAH ABDULWAHAB
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
1183500000XPharmacist69426TX

General Provider Information

NPI Number : 1821760851
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMAH ABDULWAHAB
Provider Business Mailing Address
First Line : 2322 TEXAS AVE S
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-4632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2322 TEXAS AVE S
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-4632
Country : US
Telephone Number : 979-696-5908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2021
Last Update Date : 09/28/2021

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Directions to “ FATIMAH ABDULWAHAB ” Practice Location

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