M Rabe Alkhdar

Individual provider Active NPI Pharmacist · Overland Park, KS

NPI 1780289355 · NPPES record last updated Dec 2, 2020

Key facts

NPI
1780289355
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1-104477 (KS)
Practice address
7501 Metcalf Ave
Overland Park, KS 66204-2927
Phone
(913) 642-6330
NPI assigned
Dec 2, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1-104477KSMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-104477 KS Yes

Addresses

Primary practice location

7501 Metcalf Ave
Overland Park, KS 66204-2927

Mailing address

7501 Metcalf Ave
Overland Park, KS 66204-2927
Phone (913) 642-6330

Other providers in Overland Park, KS

All providers in Overland Park, KS · Pharmacist in Kansas

Sources for this page

Verify at the official NPI Registry.