Provider Demographics
NPI:1932544350
Name:AWAD, OSAMAH (PHARMD)
Entity type:Individual
Prefix:
First Name:OSAMAH
Middle Name:
Last Name:AWAD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12037-1339
Mailing Address - Country:US
Mailing Address - Phone:151-839-2261
Mailing Address - Fax:
Practice Address - Street 1:15 COLEMAN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12037-1339
Practice Address - Country:US
Practice Address - Phone:151-839-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist