Provider Demographics
NPI:1497933717
Name:KAM INTERNATIONAL
Entity Type:Organization
Organization Name:KAM INTERNATIONAL
Other - Org Name:LAGRANGE SAV-MOR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/R.PH.
Authorized Official - Prefix:MR
Authorized Official - First Name:NAJIB
Authorized Official - Middle Name:
Authorized Official - Last Name:MAWAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:419-241-8065
Mailing Address - Street 1:3103 LAGRANGE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1801
Mailing Address - Country:US
Mailing Address - Phone:419-241-8065
Mailing Address - Fax:419-242-1127
Practice Address - Street 1:3103 LAGRANGE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1801
Practice Address - Country:US
Practice Address - Phone:419-241-8065
Practice Address - Fax:419-242-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty