Healthcare Provider Details

I. General information

NPI: 1851822316
Provider Name (Legal Business Name): MAZEN SAEED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2017
Last Update Date: 03/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2637 GENTRY MEMORIAL HWY
PICKENS SC
29671-9429
US

IV. Provider business mailing address

2637 GENTRY MEMORIAL HWY
PICKENS SC
29671-9429
US

V. Phone/Fax

Practice location:
  • Phone: 864-644-9023
  • Fax:
Mailing address:
  • Phone: 864-644-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36952
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: