Healthcare Provider Details

I. General information

NPI: 1255023289
Provider Name (Legal Business Name): AHMED AMMAR JUNAID SYED RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/28/2023
Certification Date: 05/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 YOUNGSTOWN WARREN RD
NILES OH
44446-4616
US

IV. Provider business mailing address

548 HARMON AVE
YOUNGSTOWN OH
44502-2610
US

V. Phone/Fax

Practice location:
  • Phone: 330-505-2601
  • Fax:
Mailing address:
  • Phone: 216-612-7574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03443057
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: