Provider Demographics
NPI:1790181022
Name:GEEZA, ELHAM (RPH)
Entity Type:Individual
Prefix:
First Name:ELHAM
Middle Name:
Last Name:GEEZA
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 1:2476 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7705
Mailing Address - Country:US
Mailing Address - Phone:724-935-7908
Mailing Address - Fax:
Practice Address - Street 1:2476 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7705
Practice Address - Country:US
Practice Address - Phone:724-935-7908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033589L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist