MEDICARE: MR. MAHER F ELMASRI

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	39362	CA

General Provider Information

NPI Number	:	1861712978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MAHER F ELMASRI

Provider Business Mailing Address
First Line	:	PO BOX 1241
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90714-1241
Country	:	US
Telephone Number	:	562-716-9561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1237 W CARSON ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2009
Country	:	US
Telephone Number	:	310-320-4534
Fax Number	:

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

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	06/11/2010

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Directions to “ MR. MAHER F ELMASRI ” Practice Location

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