Provider Demographics
NPI:1942433685
Name:FAIDI, MANAR KAMI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MANAR
Middle Name:KAMI
Last Name:FAIDI
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 1:824 GRAMERCY ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-5904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6475 OLD HWY. 52
Practice Address - Street 2:
Practice Address - City:WELCOME
Practice Address - State:NC
Practice Address - Zip Code:27374
Practice Address - Country:US
Practice Address - Phone:336-731-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist