Provider Demographics
NPI:1689271595
Name:SAAD, AMANY S (RPH)
Entity Type:Individual
Prefix:
First Name:AMANY
Middle Name:S
Last Name:SAAD
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 1:4008 ROCKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-3521
Mailing Address - Country:US
Mailing Address - Phone:818-919-6369
Mailing Address - Fax:
Practice Address - Street 1:4008 ROCKWOOD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-3521
Practice Address - Country:US
Practice Address - Phone:818-919-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist