Abdullah Husseen Al-Fdeilat, RPH
Individual provider Active NPI Pharmacist · Bucksport, ME
NPI 1619259900 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1619259900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR5126 (ME)
- Practice address
- 75 Main St
Bucksport, ME 04416-4025 - Phone
- (207) 469-7030
- Fax
- (207) 469-7035
- NPI assigned
- Sep 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR5126 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR5126 | ME | Yes |
Addresses
Primary practice location
75 Main St
Bucksport, ME 04416-4025
Mailing address
75 Main St
Bucksport, ME 04416-4025
Phone (207) 469-7030
Other providers in Bucksport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.