Provider Demographics
NPI:1023612587
Name:AL RUBAIY, SHEHD ABDULLAH ABBAS (RPH)
Entity type:Individual
Prefix:
First Name:SHEHD ABDULLAH ABBAS
Middle Name:
Last Name:AL RUBAIY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1524
Mailing Address - Country:US
Mailing Address - Phone:352-336-3383
Mailing Address - Fax:
Practice Address - Street 1:1621 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1524
Practice Address - Country:US
Practice Address - Phone:352-336-3383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist