Provider Demographics
NPI:1043472129
Name:KARIM, OMAR ABDUL (B PHARM)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:ABDUL
Last Name:KARIM
Suffix:
Gender:M
Credentials:B PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1033
Mailing Address - Country:US
Mailing Address - Phone:516-849-0409
Mailing Address - Fax:
Practice Address - Street 1:699 92 STREET
Practice Address - Street 2:DANAR TWO INC DBA MEMORIAL PHARMACY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228
Practice Address - Country:US
Practice Address - Phone:718-567-2661
Practice Address - Fax:718-567-2667
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist