MEDICARE: DR. PAUL SAMI EID RPH, PHARM D

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	1835C0205X	Critical Care Pharmacist	03232655	OH
2	183500000X	Pharmacist	03232655	OH

General Provider Information

NPI Number	:	1881109122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL SAMI EID RPH, PHARM D

Provider Business Mailing Address
First Line	:	6235 MONROE ST
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1427
Country	:	US
Telephone Number	:	419-885-4738
Fax Number	:	419-824-9701

Provider Business Practice Location Address
First Line	:	6235 MONROE ST
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1427
Country	:	US
Telephone Number	:	419-885-4738
Fax Number	:	419-824-9701

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

Provider Enumeration Date	:	12/08/2017
Last Update Date	:	06/16/2018

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