Provider Demographics
NPI:1649533522
Name:AL NAJJAR, OSAMA (RPH)
Entity type:Individual
Prefix:
First Name:OSAMA
Middle Name:
Last Name:AL NAJJAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7303 N NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-4918
Mailing Address - Country:US
Mailing Address - Phone:813-288-0777
Mailing Address - Fax:888-494-7084
Practice Address - Street 1:7303 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-4918
Practice Address - Country:US
Practice Address - Phone:813-288-0777
Practice Address - Fax:888-494-7084
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS47511OtherFL. DOH, BOARD OF PHARMACY