MEDICARE: AYMAN JALLOUL

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	23280	NV

General Provider Information

NPI Number	:	1891405213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYMAN JALLOUL

Provider Business Mailing Address
First Line	:	2133 NORTH EAST STREET
Second Line	:
City	:	CALGARY
State	:	ALBERTA
Zip	:	T1L2B6
Country	:	CA
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 NORTH EAST STREET
Second Line	:
City	:	CALGARY
State	:	ALBERTA
Zip	:	T1L2B6
Country	:	CA
Telephone Number	:	725-500-8071
Fax Number	:

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

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	02/16/2023

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Directions to “ AYMAN JALLOUL ” Practice Location

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