Provider Demographics
NPI:1043806433
Name:ABDULLATIF, GUHDAR BURHAN (PHARMD)
Entity type:Individual
Prefix:
First Name:GUHDAR
Middle Name:BURHAN
Last Name:ABDULLATIF
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 1:610 W YAKIMA AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3365
Mailing Address - Country:US
Mailing Address - Phone:509-469-0246
Mailing Address - Fax:509-469-2080
Practice Address - Street 1:610 W YAKIMA AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3365
Practice Address - Country:US
Practice Address - Phone:509-469-2046
Practice Address - Fax:509-426-2080
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61072240183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist