Provider Demographics
NPI:1568077923
Name:ABDULLAHI, SHANNON GABRIELLE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:GABRIELLE
Last Name:ABDULLAHI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5222
Mailing Address - Country:US
Mailing Address - Phone:508-620-1608
Mailing Address - Fax:
Practice Address - Street 1:653 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5222
Practice Address - Country:US
Practice Address - Phone:508-620-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist