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NPI Code Detail

MEDICARE: NADA YOUNIS ALKHAIRULLA RPH

MEDICARE: NADA YOUNIS ALKHAIRULLA 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
1183500000XPharmacist51660CA

General Provider Information

NPI Number : 1841511755
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADA YOUNIS ALKHAIRULLA RPH
Provider Business Mailing Address
First Line : 4278 BIDWELL DR
Second Line :
City : FREMONT
State : CA
Zip : 94538-2644
Country : US
Telephone Number : 510-979-0760
Fax Number : 510-979-0770
Provider Business Practice Location Address
First Line : 1650 DECOTO RD
Second Line :
City : UNION CITY
State : CA
Zip : 94587-3544
Country : US
Telephone Number : 510-429-0195
Fax Number : 510-429-0403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 06/15/2010

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