IndividualActive
Abdul-Rahman Al-Jarrah
NPI 1700505690 · Pharmacist · Moore, OK
Provider details
- NPI number
- 1700505690
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16780 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
800 Se 4th St
Moore, OK 73160-7210
Phone: (405) 794-1539
Approximate (ZIP-level) locationGet directions
Mailing address
10235 Kingston Way
Village, OK 73120-2083
Registry dates
- Enumerated
- 2022-08-24
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.