Provider Demographics
NPI:1346554490
Name:ALYELDIN, EMAN (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:EMAN
Middle Name:
Last Name:ALYELDIN
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:ALYELDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM-D
Mailing Address - Street 1:13135 KINGS LAKE DR
Mailing Address - Street 2:UNIT #102
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-3960
Mailing Address - Country:US
Mailing Address - Phone:813-677-8811
Mailing Address - Fax:813-677-8812
Practice Address - Street 1:13135 KINGS LAKE DR
Practice Address - Street 2:UNIT #102
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-3960
Practice Address - Country:US
Practice Address - Phone:813-677-8811
Practice Address - Fax:813-677-8812
Is Sole Proprietor?:No
Enumeration Date:2010-07-31
Last Update Date:2016-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47248183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist