Provider Demographics
NPI:1831582337
Name:AHMED, RAMI (RPH)
Entity type:Individual
Prefix:MR
First Name:RAMI
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MARCLIFFE DR
Mailing Address - Street 2:APT 7
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-8673
Mailing Address - Country:US
Mailing Address - Phone:732-491-7948
Mailing Address - Fax:
Practice Address - Street 1:5150 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-7878
Practice Address - Country:US
Practice Address - Phone:732-491-7948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025953A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist