Provider Demographics
NPI:1952669384
Name:ADLIA M. EBEID, PHARMD, PLLC
Entity Type:Organization
Organization Name:ADLIA M. EBEID, PHARMD, PLLC
Other - Org Name:PROFESSIONAL WELLNESS CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ADLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBEID
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-451-2598
Mailing Address - Street 1:2360 COUNTY ROAD 94
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5136
Mailing Address - Country:US
Mailing Address - Phone:832-736-1676
Mailing Address - Fax:
Practice Address - Street 1:2360 COUNTY ROAD 94
Practice Address - Street 2:SUITE 108
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5136
Practice Address - Country:US
Practice Address - Phone:832-736-1676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
TX469313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center