Provider Demographics
NPI:1720823354
Name:AL NOAIMY, SEDRA
Entity type:Individual
Prefix:
First Name:SEDRA
Middle Name:
Last Name:AL NOAIMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9031 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3603
Mailing Address - Country:US
Mailing Address - Phone:346-320-4997
Mailing Address - Fax:346-320-4961
Practice Address - Street 1:9031 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3603
Practice Address - Country:US
Practice Address - Phone:346-320-4997
Practice Address - Fax:346-320-4961
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist