Provider Demographics
NPI:1689333627
Name:ALSAMMAN, ABDULLAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABDULLAH
Middle Name:
Last Name:ALSAMMAN
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 1:19245 10TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-8395
Mailing Address - Country:US
Mailing Address - Phone:419-516-6033
Mailing Address - Fax:
Practice Address - Street 1:19245 10TH AVE NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8395
Practice Address - Country:US
Practice Address - Phone:360-394-1589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61201278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist