Provider Demographics
NPI:1417551383
Name:EL-SAYAD, ALI HASSAN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:HASSAN
Last Name:EL-SAYAD
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 1:1111 TAMIAMI TRL N
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-2152
Mailing Address - Country:US
Mailing Address - Phone:941-484-8406
Mailing Address - Fax:
Practice Address - Street 1:1111 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NOKOMIS
Practice Address - State:FL
Practice Address - Zip Code:34275-2152
Practice Address - Country:US
Practice Address - Phone:941-484-8406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22738183500000X
FLPS61401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist