Provider Demographics
NPI:1770803793
Name:SAAD, RAMI KAMAL (RPH)
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:KAMAL
Last Name:SAAD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-2063
Mailing Address - Country:US
Mailing Address - Phone:707-426-4242
Mailing Address - Fax:707-426-4058
Practice Address - Street 1:135 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-2063
Practice Address - Country:US
Practice Address - Phone:707-426-4242
Practice Address - Fax:707-426-4058
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist