Provider Demographics
NPI:1326016288
Name:ALBIBI, MOHAMMED (RPH)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:
Last Name:ALBIBI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-1500
Mailing Address - Country:US
Mailing Address - Phone:850-785-0700
Mailing Address - Fax:850-785-0747
Practice Address - Street 1:2303 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-1500
Practice Address - Country:US
Practice Address - Phone:850-785-0700
Practice Address - Fax:850-785-0747
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5571130001Medicare ID - Type Unspecified
FL1014517Medicare UPIN