Provider Demographics
NPI:1801064431
Name:SAWIRIS, MARIAM (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:MARIAM
Middle Name:
Last Name:SAWIRIS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 YAMATO RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5354
Mailing Address - Country:US
Mailing Address - Phone:561-998-1652
Mailing Address - Fax:561-998-1655
Practice Address - Street 1:3003 YAMATO RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5354
Practice Address - Country:US
Practice Address - Phone:561-998-1652
Practice Address - Fax:561-998-1655
Is Sole Proprietor?:No
Enumeration Date:2008-02-17
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02873000183500000X
FLPS45844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist