Individual
ABDILAHI A MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 856-6027
(774) 442-4141
Mailing address
55 LAKE AVE N, PHARMACY DEPARTMENT, WORCESTER, MA 01655-0002
(415) 596-2533
(774) 442-4141
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH232812
MA
1835P1200X
Pharmacotherapy Pharmacist
PH232812
MA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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