Provider Demographics
NPI:1932538337
Name:HAMIDE, SAMER MOHAMAD (PHARMACY DOCTORATE)
Entity Type:Individual
Prefix:
First Name:SAMER
Middle Name:MOHAMAD
Last Name:HAMIDE
Suffix:
Gender:M
Credentials:PHARMACY DOCTORATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-5428
Mailing Address - Country:US
Mailing Address - Phone:504-296-4510
Mailing Address - Fax:206-339-9358
Practice Address - Street 1:1420 SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-3935
Practice Address - Country:US
Practice Address - Phone:985-580-9990
Practice Address - Fax:985-520-0323
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-15539183500000X
LA020361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist