Provider Demographics
NPI:1518416965
Name:AL-SAID, AMANDA ATEF (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:ATEF
Last Name:AL-SAID
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15510 W BELL RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3436
Mailing Address - Country:US
Mailing Address - Phone:602-321-5021
Mailing Address - Fax:
Practice Address - Street 1:7780 N 58TH LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-7879
Practice Address - Country:US
Practice Address - Phone:602-321-5021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist