Provider Demographics
NPI:1164702940
Name:ABDELMONEIM, SAMIA A (RPH)
Entity Type:Individual
Prefix:MS
First Name:SAMIA
Middle Name:A
Last Name:ABDELMONEIM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 KENSINGTON GDNS
Mailing Address - Street 2:UNIT # 102
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3618
Mailing Address - Country:US
Mailing Address - Phone:410-812-8953
Mailing Address - Fax:
Practice Address - Street 1:2540 KENSINGTON GDNS
Practice Address - Street 2:UNIT # 102
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3618
Practice Address - Country:US
Practice Address - Phone:410-812-8953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist