Healthcare Provider Details

I. General information

NPI: 1730093154
Provider Name (Legal Business Name): SAMER SAEED MOHAMED FOUAD FAHMY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SAMER FAHMY RPH

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 COMMERCIAL WAY
SPRING HILL FL
34606-2326
US

IV. Provider business mailing address

4255 COMMERCIAL WAY
SPRING HILL FL
34606-2326
US

V. Phone/Fax

Practice location:
  • Phone: 352-597-7504
  • Fax: 352-597-7509
Mailing address:
  • Phone: 352-597-7504
  • Fax: 352-597-7509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71674
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: