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AHMAD ABUATIYEH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1962762476

Individual Registrant:
 AHMAD  ABUATIYEH 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7807 S. SHOLER AVE  BRIDGEVIEW, IL 60455 US
Tel: 708-822-2655  Fax: --

Contact information for business:
7807 SHOLER AVE  BRIDGEVIEW, IL 60455-1458 US
Tel: 708-822-2655  Fax: --

Registration Information:
NPI: 1962762476
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IL051293140

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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