Provider Demographics
NPI:1942077763
Name:ELNAKEEB, AHMED
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ELNAKEEB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SAW MILL LN APT 12C
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1921
Mailing Address - Country:US
Mailing Address - Phone:267-357-3294
Mailing Address - Fax:
Practice Address - Street 1:1900 N 9TH ST STE 101
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-2027
Practice Address - Country:US
Practice Address - Phone:215-787-9999
Practice Address - Fax:215-787-9985
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist