Provider Demographics
NPI:1093048795
Name:EL-GENDY, AMGAD (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:AMGAD
Middle Name:
Last Name:EL-GENDY
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:MR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:ELGENDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:325 E WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1252
Mailing Address - Country:US
Mailing Address - Phone:330-724-5219
Mailing Address - Fax:330-724-0595
Practice Address - Street 1:325 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1252
Practice Address - Country:US
Practice Address - Phone:330-724-5219
Practice Address - Fax:330-724-0595
Is Sole Proprietor?:No
Enumeration Date:2009-09-12
Last Update Date:2009-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-17721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist