Provider Demographics
NPI:1023658093
Name:ABDELHAMID, ISLAM (RPH, BCPS)
Entity type:Individual
Prefix:
First Name:ISLAM
Middle Name:
Last Name:ABDELHAMID
Suffix:
Gender:M
Credentials:RPH, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 HOLCOMBE BLVD APT 1728
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4192
Mailing Address - Country:US
Mailing Address - Phone:510-646-3464
Mailing Address - Fax:
Practice Address - Street 1:1911 HOLCOMBE BLVD APT 1728
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4192
Practice Address - Country:US
Practice Address - Phone:510-646-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX600011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy