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NPI Code Detail

MEDICARE: DR. EMAD SHENODA PHARMD, RPH

MEDICARE: DR. EMAD SHENODA PHARMD, RPH
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
1183500000XPharmacist0202219219VA

General Provider Information

NPI Number : 1801497177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMAD SHENODA PHARMD, RPH
Provider Business Mailing Address
First Line : 1734 WESTPORT CRES
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-9617
Country : US
Telephone Number : 757-775-4720
Fax Number :
Provider Business Practice Location Address
First Line : 2400 GEORGE WASHINGTON MEM HWY
Second Line :
City : TABB
State : VA
Zip : 23693-3404
Country : US
Telephone Number : 757-775-4720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 11/03/2020

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