Provider Demographics
NPI:1114472206
Name:OSMAN, AHMED (BPHARM)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:OSMAN
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38024 HONEY PINE RD
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3351
Mailing Address - Country:US
Mailing Address - Phone:951-760-3130
Mailing Address - Fax:
Practice Address - Street 1:38024 HONEY PINE RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-3351
Practice Address - Country:US
Practice Address - Phone:951-760-3130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 66940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist