Provider Demographics
NPI:1275198178
Name:GIRGIS, GAMEEL (RPH)
Entity Type:Individual
Prefix:
First Name:GAMEEL
Middle Name:
Last Name:GIRGIS
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 1:87 URBAN CLUB RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2009
Mailing Address - Country:US
Mailing Address - Phone:347-891-8033
Mailing Address - Fax:
Practice Address - Street 1:87 URBAN CLUB RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2009
Practice Address - Country:US
Practice Address - Phone:347-891-8033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist