Provider Demographics
NPI:1922377936
Name:BADAWY, HANY (PHARM D)
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:
Last Name:BADAWY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CATRIONA DR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32124-2063
Mailing Address - Country:US
Mailing Address - Phone:646-243-4677
Mailing Address - Fax:
Practice Address - Street 1:1800 STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA
Practice Address - State:FL
Practice Address - Zip Code:32168-8341
Practice Address - Country:US
Practice Address - Phone:386-428-1558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 40606183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist