Provider Demographics
NPI:1699951020
Name:HEGAZY, AMANY YOUSSEF (RPHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:AMANY
Middle Name:YOUSSEF
Last Name:HEGAZY
Suffix:
Gender:F
Credentials:RPHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 IDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3455
Mailing Address - Country:US
Mailing Address - Phone:318-445-6270
Mailing Address - Fax:
Practice Address - Street 1:PINEVILLE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71306
Practice Address - Country:US
Practice Address - Phone:318-473-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist