Provider Demographics
NPI:1285926204
Name:ABDEL MAGID, ESLAM
Entity type:Individual
Prefix:MR
First Name:ESLAM
Middle Name:
Last Name:ABDEL MAGID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 RANDLEMAN RD
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406
Mailing Address - Country:US
Mailing Address - Phone:336-274-0983
Mailing Address - Fax:336-274-0058
Practice Address - Street 1:2403 RANDLEMAN RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-4309
Practice Address - Country:US
Practice Address - Phone:336-274-0983
Practice Address - Fax:336-274-7752
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist