Provider Demographics
NPI:1326600396
Name:ABUKHALIL, ABDALLAH
Entity Type:Individual
Prefix:DR
First Name:ABDALLAH
Middle Name:
Last Name:ABUKHALIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7905 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-4226
Mailing Address - Country:US
Mailing Address - Phone:216-721-1772
Mailing Address - Fax:216-721-1778
Practice Address - Street 1:7905 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4226
Practice Address - Country:US
Practice Address - Phone:216-721-1772
Practice Address - Fax:216-721-1778
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033239641835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist