Provider Demographics
NPI:1457631913
Name:ELSHERBINI, SAMY SHAKER (PHARMD, JD, MBA)
Entity type:Individual
Prefix:DR
First Name:SAMY
Middle Name:SHAKER
Last Name:ELSHERBINI
Suffix:
Gender:M
Credentials:PHARMD, JD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1045
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-1045
Mailing Address - Country:US
Mailing Address - Phone:704-794-4070
Mailing Address - Fax:
Practice Address - Street 1:2212 PLAZA DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1131
Practice Address - Country:US
Practice Address - Phone:732-642-9812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22238183500000X
NJNJ28RI0288400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist