Individual
ESSAM BEBAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15501 DETROIT AVE, LAKEWOOD, OH 44107-3851
(216) 221-7961
Mailing address
15501 DETROIT AVE, LAKEWOOD, OH 44107-3851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0323674Y
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UB108738
STATE ID
OH
Enumeration date
12/01/2020
Last updated
12/01/2020
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