Provider Demographics
NPI:1609377381
Name:ABDEL-KHALEQ, BESAN S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BESAN
Middle Name:S
Last Name:ABDEL-KHALEQ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 CHATHAMOOR DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8190
Mailing Address - Country:US
Mailing Address - Phone:321-297-9696
Mailing Address - Fax:
Practice Address - Street 1:1961 CHATHAMOOR DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8190
Practice Address - Country:US
Practice Address - Phone:321-297-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56475183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist