Provider Demographics
NPI:1003511858
Name:AWAD, JOHN RAMZI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RAMZI
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:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:FL
Mailing Address - Zip Code:32640-0096
Mailing Address - Country:US
Mailing Address - Phone:352-443-1684
Mailing Address - Fax:
Practice Address - Street 1:6925 SE US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:FL
Practice Address - Zip Code:32640-3966
Practice Address - Country:US
Practice Address - Phone:352-443-1684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS633911835C0207X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations