Provider Demographics
NPI:1679655799
Name:BEYDOUN, ABEIR FOUAD (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ABEIR
Middle Name:FOUAD
Last Name:BEYDOUN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-4502
Mailing Address - Country:US
Mailing Address - Phone:313-768-5978
Mailing Address - Fax:
Practice Address - Street 1:6620 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4502
Practice Address - Country:US
Practice Address - Phone:313-582-6040
Practice Address - Fax:313-582-6030
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301010259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist