Provider Demographics
NPI:1427378611
Name:HAMAD, AHMAD MOHAMMAD (RPH)
Entity Type:Individual
Prefix:MR
First Name:AHMAD
Middle Name:MOHAMMAD
Last Name:HAMAD
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 1:32450 CLINTON KEITH RD
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595
Mailing Address - Country:US
Mailing Address - Phone:951-678-9141
Mailing Address - Fax:951-678-0614
Practice Address - Street 1:3056 BURNET AVE STE 12
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-2466
Practice Address - Country:US
Practice Address - Phone:315-437-0102
Practice Address - Fax:315-437-0136
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042811183500000X
CA59521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist