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NPI Code Detail

MEDICARE: BISHOY SAMIR HANNA BADWI RPH

MEDICARE: BISHOY SAMIR HANNA BADWI RPH
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
1183500000XPharmacist18510NC

General Provider Information

NPI Number : 1689973828
Entity Type Code : Individual
Provider Name (Legal Business Name) : BISHOY SAMIR HANNA BADWI RPH
Provider Business Mailing Address
First Line : 9835 MONROE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1471
Country : US
Telephone Number : 704-847-8892
Fax Number : 704-849-7228
Provider Business Practice Location Address
First Line : 9835 MONROE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1471
Country : US
Telephone Number : 704-847-8892
Fax Number : 704-849-7228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2011
Last Update Date : 03/26/2011

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