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NPI Code Detail

MEDICARE: MOHAMED MARAWAN SHABANA PHARMACIST

MEDICARE: MOHAMED MARAWAN SHABANA PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03127742-1OH

General Provider Information

NPI Number : 1750672283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED MARAWAN SHABANA PHARMACIST
Provider Business Mailing Address
First Line : 519 CRAWLEY RUN APT 208
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-7330
Country : US
Telephone Number : 609-770-1058
Fax Number :
Provider Business Practice Location Address
First Line : 2532 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-2019
Country : US
Telephone Number : 937-258-8101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 05/02/2011

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Directions to “ MOHAMED MARAWAN SHABANA PHARMACIST” Practice Location

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