Healthcare Provider Details

I. General information

NPI: 1285901934
Provider Name (Legal Business Name): BISHOY AIAAD PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 S MISSION RD
FALLBROOK CA
92028-4005
US

IV. Provider business mailing address

1801 N OLDEN AVE
EWING NJ
08638-3108
US

V. Phone/Fax

Practice location:
  • Phone: 760-451-2970
  • Fax:
Mailing address:
  • Phone: 609-493-9902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number66379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: