Provider Demographics
NPI:1134704794
Name:SOLIMAN HENAIDY, AMIN HENAIDY AMIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:AMIN HENAIDY
Middle Name:AMIN
Last Name:SOLIMAN HENAIDY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 ARMITAGE WAY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-6403
Mailing Address - Country:US
Mailing Address - Phone:717-917-6094
Mailing Address - Fax:
Practice Address - Street 1:2101 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4808
Practice Address - Country:US
Practice Address - Phone:717-843-0197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI005831OtherBUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PARP441736OtherBUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS