Provider Demographics
NPI:1538245121
Name:ALBADAWI, ADEL Y (PHARM D)
Entity type:Individual
Prefix:MR
First Name:ADEL
Middle Name:Y
Last Name:ALBADAWI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8990 GARFIELD ST
Mailing Address - Street 2:SUITE 12
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3922
Mailing Address - Country:US
Mailing Address - Phone:951-688-5232
Mailing Address - Fax:951-688-6927
Practice Address - Street 1:8990 GARFIELD ST
Practice Address - Street 2:SUITE 12
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3922
Practice Address - Country:US
Practice Address - Phone:951-688-5232
Practice Address - Fax:951-688-6927
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 30945183500000X
CA309451835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist