Provider Demographics
NPI:1871365619
Name:HAMED, SOMIA MA (PHARMD)
Entity type:Individual
Prefix:
First Name:SOMIA
Middle Name:MA
Last Name:HAMED
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 MISSOURI BLVD # MO65109
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-1735
Mailing Address - Country:US
Mailing Address - Phone:573-635-8910
Mailing Address - Fax:
Practice Address - Street 1:1801 MISSOURI BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-1735
Practice Address - Country:US
Practice Address - Phone:573-635-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023042707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist