Provider Demographics
NPI:1326710682
Name:ALI, SEID B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SEID
Middle Name:B
Last Name:ALI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12237 W OLD BALTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-9005
Mailing Address - Country:US
Mailing Address - Phone:301-318-0951
Mailing Address - Fax:
Practice Address - Street 1:12237 W OLD BALTIMORE RD
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-9005
Practice Address - Country:US
Practice Address - Phone:301-318-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist