Healthcare Provider Details

I. General information

NPI: 1861773426
Provider Name (Legal Business Name): LENA D SAED RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2011
Last Update Date: 09/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 WAUKEGAN RD
DEERFIELD IL
60015-4305
US

IV. Provider business mailing address

780 WAUKEGAN RD
DEERFIELD IL
60015-4305
US

V. Phone/Fax

Practice location:
  • Phone: 847-945-0611
  • Fax: 847-945-5978
Mailing address:
  • Phone: 847-945-0611
  • Fax: 847-945-5978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-037382
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: