Provider Demographics
NPI:1376348383
Name:ABDI, MUSA A (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MUSA
Middle Name:A
Last Name:ABDI
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 1:411 108TH AVE NE STE 1200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-1100
Mailing Address - Country:US
Mailing Address - Phone:425-885-6685
Mailing Address - Fax:
Practice Address - Street 1:411 108TH AVE NE STE 1200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1100
Practice Address - Country:US
Practice Address - Phone:425-241-7719
Practice Address - Fax:425-556-1852
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61524729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist