Provider Demographics
NPI:1992939136
Name:MOUNIR, SAMEH M (RPH)
Entity type:Individual
Prefix:
First Name:SAMEH
Middle Name:M
Last Name:MOUNIR
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 1:8381 KATELLA AVE STE O
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3246
Mailing Address - Country:US
Mailing Address - Phone:714-484-9910
Mailing Address - Fax:714-484-9911
Practice Address - Street 1:8381 KATELLA AVE STE O
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3246
Practice Address - Country:US
Practice Address - Phone:714-484-9910
Practice Address - Fax:714-484-9911
Is Sole Proprietor?:No
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 55384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist