Provider Demographics
NPI:1750984704
Name:MUHAMAD, AHMAD ABD ALLAH MOUSTAFA (RPH)
Entity type:Individual
Prefix:
First Name:AHMAD ABD ALLAH
Middle Name:MOUSTAFA
Last Name:MUHAMAD
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 1:8831 IMMOKALEE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-3914
Mailing Address - Country:US
Mailing Address - Phone:239-304-2360
Mailing Address - Fax:
Practice Address - Street 1:8831 IMMOKALEE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-3914
Practice Address - Country:US
Practice Address - Phone:239-304-2360
Practice Address - Fax:239-304-2619
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS606151835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy