Provider Demographics
NPI:1609157098
Name:AYAD, AMANY
Entity Type:Individual
Prefix:
First Name:AMANY
Middle Name:
Last Name:AYAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27175 CENTER RIDGE ROAD
Mailing Address - Street 2:RITE AID
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1556
Mailing Address - Country:US
Mailing Address - Phone:440-871-7177
Mailing Address - Fax:
Practice Address - Street 1:27175 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4024
Practice Address - Country:US
Practice Address - Phone:646-255-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist