Ahmed M Abou-El-Seoud, RPH

Individual provider Active NPI Pharmacist · Apple Valley, CA

NPI 1578847745 · NPPES record last updated Oct 5, 2011

Key facts

NPI
1578847745
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
65034 (CA)
Practice address
21650 Outer Highway 18
Apple Valley, CA 92307-3990
Phone
(760) 240-0866
Fax
(760) 961-9488
NPI assigned
Oct 5, 2011
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Apr 3, 2022
Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65034 CA Yes

Addresses

Primary practice location

21650 Outer Highway 18
Apple Valley, CA 92307-3990

Mailing address

3905 La Sierra Ave Apt 58
Riverside, CA 92505-3543
Phone (951) 756-8374

Other providers in Apple Valley, CA

All providers in Apple Valley, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.