MEDICARE: AMRO ELSAYED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03440596	OH

General Provider Information

NPI Number	:	1427625870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMRO ELSAYED

Provider Business Mailing Address
First Line	:	6626 FOUNTAINS BLVD UNIT 2
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 S SMITHVILLE RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-2792
Country	:	US
Telephone Number	:	937-256-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2021
Last Update Date	:	06/04/2021

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Directions to “ AMRO ELSAYED ” Practice Location

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