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NPI Code Detail

MEDICARE: MOHAMMAD HUSAM MAHMOUD PHARM D

MEDICARE: MOHAMMAD HUSAM MAHMOUD 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
1183500000XPharmacist60697CA

General Provider Information

NPI Number : 1912282682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD HUSAM MAHMOUD PHARM D
Provider Business Mailing Address
First Line : 2020 W CLEVELAND AVE
Second Line :
City : MADERA
State : CA
Zip : 93637-8759
Country : US
Telephone Number : 559-664-9170
Fax Number :
Provider Business Practice Location Address
First Line : 2020 W CLEVELAND AVE
Second Line :
City : MADERA
State : CA
Zip : 93637-8759
Country : US
Telephone Number : 559-664-9170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2011
Last Update Date : 10/13/2011

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