Individual
DEIAA EL DEEN M GAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
3645 CONCORD PKWY S, CONCORD, NC 28027-9054
(704) 723-4948
Mailing address
13423 MALLARD LAKE RD, CHARLOTTE, NC 28262-1665
(704) 941-1402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18159
NC
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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