Provider Demographics
NPI:1366756439
Name:AWAD, MAGDI H (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAGDI
Middle Name:H
Last Name:AWAD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3793 FAIRWAY PARK DR APT 209
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1682
Mailing Address - Country:US
Mailing Address - Phone:615-589-2832
Mailing Address - Fax:
Practice Address - Street 1:3793 FAIRWAY PARK DR APT 209
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1682
Practice Address - Country:US
Practice Address - Phone:615-589-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-01
Last Update Date:2010-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1197691835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist