Provider Demographics
NPI:1497101083
Name:MEAH, OSMAN T (PHARMD)
Entity Type:Individual
Prefix:
First Name:OSMAN
Middle Name:T
Last Name:MEAH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 W IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-1325
Mailing Address - Country:US
Mailing Address - Phone:630-773-8068
Mailing Address - Fax:630-773-4068
Practice Address - Street 1:343 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1325
Practice Address - Country:US
Practice Address - Phone:630-773-8068
Practice Address - Fax:630-773-4068
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051241638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist