Shady Aly Ismail Elattar

NPI #1356574941 in Gray, Maine

Provider Information

NPI Number: 1356574941
Entity Type: Individual
Name: Shady Aly Ismail Elattar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 28, 2009
Last Updated: Aug 28, 2009

Practice Location

Address: 62 W GRAY RD
City: Gray
State: Maine
ZIP Code: 04039-9772
Phone: (207) 657-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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