Provider Demographics
NPI:1124742226
Name:ALANI, MOHAMMED JALAL (RPH)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:JALAL
Last Name:ALANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 S BULFINCH ST UNIT 108
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-3156
Mailing Address - Country:US
Mailing Address - Phone:781-856-4155
Mailing Address - Fax:
Practice Address - Street 1:24 S BULFINCH ST UNIT 108
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-3156
Practice Address - Country:US
Practice Address - Phone:781-856-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH241128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist