Provider Demographics
NPI:1871601245
Name:KAM INTERNATIONAL INC
Entity type:Organization
Organization Name:KAM INTERNATIONAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RPH/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAJIB
Authorized Official - Middle Name:
Authorized Official - Last Name:MAWAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-241-8065
Mailing Address - Street 1:3250 LAGRANGE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1842
Mailing Address - Country:US
Mailing Address - Phone:419-241-8065
Mailing Address - Fax:419-242-1127
Practice Address - Street 1:3250 LAGRANGE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1842
Practice Address - Country:US
Practice Address - Phone:419-241-8065
Practice Address - Fax:419-242-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0212003503336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2172152Medicaid
3668297OtherOTHER ID NUMBER
1325870001Medicare NSC