Provider Demographics
NPI:1164033882
Name:SEID, AHMED (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:SEID
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 CHAIN BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3966
Mailing Address - Country:US
Mailing Address - Phone:703-356-5822
Mailing Address - Fax:703-356-8301
Practice Address - Street 1:530 SOMERVILLE AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-3216
Practice Address - Country:US
Practice Address - Phone:617-776-9320
Practice Address - Fax:617-776-2339
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH238424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist