Provider Demographics
NPI:1891286217
Name:BUKARI, MOHAMMED-AWAL ABDULAI (PHARMD)
Entity Type:Individual
Prefix:
First Name:MOHAMMED-AWAL
Middle Name:ABDULAI
Last Name:BUKARI
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 1:1928 CHRISTOPHER PL
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3576
Mailing Address - Country:US
Mailing Address - Phone:717-421-1086
Mailing Address - Fax:
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1700
Practice Address - Country:US
Practice Address - Phone:717-267-7195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03544700183500000X
PARP448458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist