Provider Demographics
NPI:1932704343
Name:OSMAN, EILAF (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EILAF
Middle Name:
Last Name:OSMAN
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 1:500 N BAGDAD RD
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-8791
Mailing Address - Country:US
Mailing Address - Phone:512-259-0130
Mailing Address - Fax:512-260-1542
Practice Address - Street 1:500 N BAGDAD RD
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-8791
Practice Address - Country:US
Practice Address - Phone:512-259-0130
Practice Address - Fax:512-260-1542
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX587321835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX58732OtherTEXAS STATE BOARD OF PHARMACY