Provider Demographics
NPI:1528550878
Name:AWAD, GEORGE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:AWAD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:FAYEK
Other - Last Name:AWAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 AYERS CIRCLE
Mailing Address - Street 2:BLDG. H-1
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904
Mailing Address - Country:US
Mailing Address - Phone:207-438-2610
Mailing Address - Fax:
Practice Address - Street 1:1 AYERS CIRCLE
Practice Address - Street 2:BLDG. H-1
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904
Practice Address - Country:US
Practice Address - Phone:207-438-2610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-02
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist