Provider Demographics
NPI:1831873421
Name:NAJI, ABDULLAH BASIL (RPH)
Entity type:Individual
Prefix:
First Name:ABDULLAH
Middle Name:BASIL
Last Name:NAJI
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 1:8775 COSTA VERDE BLVD APT 307
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5340
Mailing Address - Country:US
Mailing Address - Phone:424-382-2685
Mailing Address - Fax:
Practice Address - Street 1:8775 COSTA VERDE BLVD APT 307
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5340
Practice Address - Country:US
Practice Address - Phone:424-382-2685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist