Provider Demographics
NPI:1003698291
Name:TAHA, ABDEL RAHMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ABDEL RAHMAN
Middle Name:
Last Name:TAHA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 PUTNEY CT UNIT 1416
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-7493
Mailing Address - Country:US
Mailing Address - Phone:407-761-5003
Mailing Address - Fax:
Practice Address - Street 1:4860 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-5337
Practice Address - Country:US
Practice Address - Phone:239-732-7318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist