Individual provider · NPI-1

Dr. Mahmoud Abdelhaq, PharmD

Pharmacist, Pharmacotherapy · Albuquerque, NM

NPI number1700119906
StatusActive
Last updated in NPPESOct 27, 2016

Details

NPI
1700119906
Entity type
Individual (NPI-1)
Name
Dr. Mahmoud Abdelhaq
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 8, 2009
Last updated
Oct 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P1200X Pharmacist, PharmacotherapyRP00007307NMYes
183500000X PharmacistRP00007307NM

Practice location

11001 Menaul Blvd Ne
Albuquerque, NM 87112-2432

Phone 505-200-3440 · Fax 505-200-3436

Mailing address

11001 Menaul Blvd Ne
Albuquerque, NM 87112-2432

Phone 505-200-3440 · Fax 505-200-3436

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