National Provider Identifier
Ahmed Elbaneh
Ahmed Elbaneh is listed in the NPPES registry with a primary specialty of Pharmacist in Lackawanna, NY and a listed phone number of (716) 352-7566.
Source: public NPPES record, last updated November 12, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1811599913
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 12, 2020
- Last Updated
- November 12, 2020
Practice Location
- 28 Wilkesbarre St Apt 1
- Lackawanna, NY 14218-1125
Phone: (716) 352-7566
Specialties
- Pharmacist (183500000X)
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Biography
Ahmed Elbaneh is a New York-registered pharmacist based in Lackawanna. State licensure records list him as registered and note an immunization privilege, a credentialed authorization relevant to vaccine services in pharmacy practice.
Full Record
- NPI
- 1811599913
- Entity Type
- Individual
- Last Name
- Elbaneh
- First Name
- Ahmed
- Name Prefix
- Dr.
- Mailing Street Address
- 28 Wilkesbarre St Apt 1
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1125
- Mailing Country
- US
- Mailing Phone
- (716) 352-7566
- Practice Street Address
- 28 Wilkesbarre St Apt 1
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1125
- Practice Country
- US
- Practice Phone
- (716) 352-7566
- Enumeration Date
- November 12, 2020
- Last Updated
- November 12, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 12, 2020
- Taxonomies
- Pharmacist (183500000X)