Dr. Mohammad Ahmed Abu Mallouh, PharmD
Pharmacist in Prineville, OR. Individual provider (NPI-1).
NPI number1104548288
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1104548288
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohammad Ahmed Abu Mallouh
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2022
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH-0018957 | OR | Yes |
Practice location
384 Se Combs Flat RdPrineville, OR 97754-2562
Phone 541-447-8423 · Fax 541-447-8724
Mailing address
2324 Nw Elm AveRedmond, OR 97756-7097
Phone 541-447-8423
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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