Provider Demographics
NPI:1861747321
Name:EID, FOUAD (PHARM D)
Entity type:Individual
Prefix:
First Name:FOUAD
Middle Name:
Last Name:EID
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 CHAPEL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-8401
Mailing Address - Country:US
Mailing Address - Phone:419-297-6414
Mailing Address - Fax:
Practice Address - Street 1:3133 CHAPEL CREEK DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-8401
Practice Address - Country:US
Practice Address - Phone:419-297-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227743-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist