Provider Demographics
NPI:1346625217
Name:SAYED, RIAZ
Entity type:Individual
Prefix:MR
First Name:RIAZ
Middle Name:
Last Name:SAYED
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 1:2485 DEWEY LN
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-1360
Mailing Address - Country:US
Mailing Address - Phone:717-580-4823
Mailing Address - Fax:
Practice Address - Street 1:2485 DEWEY LN
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-1360
Practice Address - Country:US
Practice Address - Phone:717-580-4823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038003R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist