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NPI Code Detail

MEDICARE: MAHMOUD MANSOUR AWAD

MEDICARE: MAHMOUD MANSOUR AWAD
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
1183500000XPharmacist03438990OH

General Provider Information

NPI Number : 1699313973
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHMOUD MANSOUR AWAD
Provider Business Mailing Address
First Line : 4134 ELMORE RD
Second Line :
City : FAIRVIEW PARK
State : OH
Zip : 44126-1421
Country : US
Telephone Number : 440-454-1276
Fax Number :
Provider Business Practice Location Address
First Line : 15149 SNOW RD
Second Line :
City : BROOKPARK
State : OH
Zip : 44142-2458
Country : US
Telephone Number : 216-676-5561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 12/17/2019

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Directions to “ MAHMOUD MANSOUR AWAD ” Practice Location

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