Provider Demographics
NPI:1215219985
Name:AL-JONAID, ABDULKAHER (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ABDULKAHER
Middle Name:
Last Name:AL-JONAID
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4805
Mailing Address - Country:US
Mailing Address - Phone:707-444-0521
Mailing Address - Fax:707-444-0526
Practice Address - Street 1:2525 HARRIS ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4805
Practice Address - Country:US
Practice Address - Phone:707-444-0521
Practice Address - Fax:707-444-0526
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist