Provider Demographics
NPI:1003406935
Name:ALLIBHAI, OMAR (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:ALLIBHAI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-7664
Mailing Address - Country:US
Mailing Address - Phone:617-899-0097
Mailing Address - Fax:781-899-1172
Practice Address - Street 1:577 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-5527
Practice Address - Country:US
Practice Address - Phone:781-893-3870
Practice Address - Fax:781-899-1172
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist