Provider Demographics
NPI:1427659937
Name:ABUKHALIL, ABEDALHAKEEM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABEDALHAKEEM
Middle Name:
Last Name:ABUKHALIL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14529 PURITAS AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-2813
Mailing Address - Country:US
Mailing Address - Phone:440-554-7025
Mailing Address - Fax:
Practice Address - Street 1:14529 PURITAS AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-2813
Practice Address - Country:US
Practice Address - Phone:216-476-1400
Practice Address - Fax:216-476-1401
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033288471835P2201X, 3336C0003X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy