Provider Demographics
NPI:1841450947
Name:SAID, WEDAD L (RPH)
Entity type:Individual
Prefix:MRS
First Name:WEDAD
Middle Name:L
Last Name:SAID
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 1:111 CALLE ANTONIO R BARC
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4529
Mailing Address - Country:US
Mailing Address - Phone:787-880-7650
Mailing Address - Fax:787-880-1937
Practice Address - Street 1:111 CALLE ANTONIO R BARC
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4529
Practice Address - Country:US
Practice Address - Phone:787-880-7650
Practice Address - Fax:787-880-1937
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist