Provider Demographics
NPI:1467739748
Name:EL SHEIKH, MOHAMED (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:
Last Name:EL SHEIKH
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 1:3629 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-2761
Mailing Address - Country:US
Mailing Address - Phone:414-335-4617
Mailing Address - Fax:
Practice Address - Street 1:3629 S 14TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-1641
Practice Address - Country:US
Practice Address - Phone:414-335-4617
Practice Address - Fax:414-335-4617
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1616-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist