Provider Demographics
NPI:1073912457
Name:HUSEIN, TAMER (RPH)
Entity Type:Individual
Prefix:MR
First Name:TAMER
Middle Name:
Last Name:HUSEIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:TAMER
Other - Middle Name:
Other - Last Name:ABBAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2407 WESVILL CT
Mailing Address - Street 2:APT # H
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-2918
Mailing Address - Country:US
Mailing Address - Phone:919-840-8502
Mailing Address - Fax:
Practice Address - Street 1:2201 W MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2297
Practice Address - Country:US
Practice Address - Phone:919-785-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist