Provider Demographics
NPI:1578994893
Name:CHENNAA, ABDELMAJID (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:ABDELMAJID
Middle Name:
Last Name:CHENNAA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 CROSSPINE WAY APT 306
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-7367
Mailing Address - Country:US
Mailing Address - Phone:407-625-4449
Mailing Address - Fax:
Practice Address - Street 1:3211 CROSSPINE WAY APT 306
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-7367
Practice Address - Country:US
Practice Address - Phone:407-625-4449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL43613183500000X
TX49577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist