Provider Demographics
NPI:1811431018
Name:DAHER, OSAMA SUBHI (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:SUBHI
Last Name:DAHER
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-4177
Mailing Address - Country:US
Mailing Address - Phone:216-661-5077
Mailing Address - Fax:
Practice Address - Street 1:2323 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-4177
Practice Address - Country:US
Practice Address - Phone:216-661-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist