MEDICARE: DR. ARIG MOHAMED ELSAYED PHARMD

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
1	183500000X	Pharmacist	RP452613	PA
2	183500000X	Pharmacist	RPI012411	PA

General Provider Information

NPI Number	:	1902389133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIG MOHAMED ELSAYED PHARMD

Provider Business Mailing Address
First Line	:	357 SHERBROOK BLVD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-4608
Country	:	US
Telephone Number	:	484-632-4903
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 ISLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1417
Country	:	US
Telephone Number	:	215-937-9665
Fax Number	:	215-365-2540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	09/13/2018

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