Provider Demographics
NPI:1467754754
Name:ELREHAIMY, AMR (PHARM D)
Entity Type:Individual
Prefix:
First Name:AMR
Middle Name:
Last Name:ELREHAIMY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 W ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-1583
Mailing Address - Country:US
Mailing Address - Phone:630-896-3672
Mailing Address - Fax:
Practice Address - Street 1:1015 W ORCHARD RD
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-1583
Practice Address - Country:US
Practice Address - Phone:630-896-3672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist