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NPI Code Detail

MEDICARE: ABDULLA S ABDULAMEER

MEDICARE: ABDULLA S ABDULAMEER
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
1183500000XPharmacist8859862-1701UT

General Provider Information

NPI Number : 1932619715
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLA S ABDULAMEER
Provider Business Mailing Address
First Line : 2332 E 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-1319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2332 E 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-1319
Country : US
Telephone Number : 801-466-9949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2017
Last Update Date : 10/05/2017

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Directions to “ ABDULLA S ABDULAMEER ” Practice Location

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