Shady Aly Ismail Elattar
Pharmacist in Gray, ME. Individual provider (NPI-1).
NPI number1356574941
StatusActive
Last updated in NPPESAug 28, 2009
Details
- NPI
- 1356574941
- Entity type
- Individual (NPI-1)
- Name
- Shady Aly Ismail Elattar
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2009
- Last updated
- Aug 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | pr5603 | ME | Yes |
Practice location
62 W Gray RdGray, ME 04039-9772
Phone 207-657-2333
Mailing address
15 Ledges CtLewiston, ME 04240-1851
Phone 207-423-9986
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All 9 Pharmacist providers in Gray · All 120 providers in Gray
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