Individual provider · NPI-1

Wali Abdul, Pharm. D.

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Dallas, TX

NPI number1962013300
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1962013300
Entity type
Individual (NPI-1)
Name
Wali Abdul
Credential
Pharm. D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2020
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist67062TXYes

Practice location

9140 Forest Ln
Dallas, TX 75243-4202

Phone 214-221-0978

Mailing address

18116 Peppy Pl
Dallas, TX 75252-2700

Phone 682-888-7543

Other practice locations

17194 Preston Rd
Dallas, TX 75248-1221

Phone 972-931-9371

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